The accidental placement of feeding tubes into the airway is a rare but serious complication
of blind feeding tube placement in pediatrics. A method using a colorimetric carbon
dioxide detector has been tested as a means of decreasing the risk of inadvertent
airway placement of gastric tubes in adults, but to date, a similar study has not
been accomplished in pediatric patients. This study sought to evaluate the efficacy
of a procedure using the colorimetric device during blind gastric tube placement in
children. The results demonstrated that the study procedure using the device is effective
in detecting inadvertent tube placement into the lung in the pediatric population.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric Nursing: Nursing Care of Children and FamiliesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- AACN practice alert: Verification of feeding tube placement (blindly inserted). 2009 (Retrieved from)
- Report on the development of a procedure to prevent placement of feeding tubes into the lungs using end-tidal CO2 (ETCO2) measurements.Critical Care Medicine. 2001; 29: 936-939
- Detection of inadvertent airway intubation during gastric tube insertion: Capnography versus a colormetric carbon dioxide detector.American Journal of Critical Care. 2006; 15: 188-193
- CO2nfirm Now CO2 detector for gastric tube placement.(Retrieved from)
- Oral and nasal enteral tube placement errors and complications in a pediatric intensive care unit.Pediatric Critical Care Medicine. 2007; 8: 161-164
- Gastric tube placement in young children.Clinical Nursing Research. 2005; 14: 238-252
- Capnogaphy and air insufflation for assessing initial placement of gastric tubes.American Journal of Critical Care. 2007; 16: 544-550
- Nasogastric tube verification in pediatric and neonatal patients.Pediatric Nursing. 2009; 35: 17-24
- Sentinel event alert: Operative and postoperative complications: Lessons for the future. 2000 (Retrieved from)
- Complications related to feeding tube placement.Current Opinion in Gastroenterology. 2007; 23: 178-182
- Reducing the harm caused by misplaced naso and orogastric feeding tubes in babies under the care of neonatal units. 2005 (Retrieved from)
- Sentinel event alert. Operative and post-operative complications: Lessons for the future. (Issue 12). 2000 (Retrieved from)
- Enteral tube nutrition. 2009 (Retrieved from Merck, Sharp & Dohme Corp. website)
- Patient safety matters: Reducing the risks of nasogastric tubes.Clinical Medicine. 2010; (Retrieved from)
Article info
Publication history
Published online: October 10, 2011
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
