Reliable Methods for Checking Nasogastric Tube Placements

579 Words Feb 1st, 2018 2 Pages
X-rays have proved to be very effective when it comes to checking the placement, but they are expensive. Studies have shown that 16-43.5% of nasogastric tubes in pediatric patients are misplaced (Farrington, M; Lang, S; Cullen, L; Stewart, S, 2013). Complications like: aspiration pneumonia pneumothorax may occur is the nasogastric tube is misplaced into the lungs (Farrington, M; Lang, S; Cullen, L; Stewart, S, 2013). There is little research done on neonates to determine the best way to determine if a nasogastric tube is placed correctly. When it comes to medicine, everyone who is part of the medical team needs to be aware of what current practice is and what evidenced based practice studies show is the best way to perform procedures.
The majority of nurses are still auscultating air insufflation over the abdomen to check the placement of nasogastric tubes, since it was the method that was taught for many years. It is an easy and less expensive way to check the placement, but research has shown that it is not reliable. Research showed that sounds can be transmitted to the epigastrium no matter where the nasogastric tube is placed. It does not matter if it is in the lungs, esophagus, or stomach, it can still be heard through the stethoscope (De Boer, J., Smit, B., Mainous, R., 2009).
It is important to check the placement of the tube before suctioning or feeding, since…
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