Disclosure: The authors report no actual or potential conflicts of interest.
Comparing methods of determining insertion length for placing gastric tubes in children 1 month to 17 years of age
Version of Record online: 30 SEP 2011
© 2011, Wiley Periodicals, Inc.
Journal for Specialists in Pediatric Nursing
Volume 17, Issue 1, pages 19–32, January 2012
How to Cite
Ellett, M. L. C., Cohen, M. D., Perkins, S. M., Croffie, J. M. B., Lane, K. A. and Austin, J. K. (2012), Comparing methods of determining insertion length for placing gastric tubes in children 1 month to 17 years of age. Journal for Specialists in Pediatric Nursing, 17: 19–32. doi: 10.1111/j.1744-6155.2011.00302.x
- Issue online: 20 DEC 2011
- Version of Record online: 30 SEP 2011
- First received March 31, 2011; Revision received June 13, 2011; Accepted for publication July 5, 2011.
- enteral feeding;
- feeding tube
Purpose. The purpose was to compare three methods of predicting the gastric tube insertion length in children 1 month to 17 years of age: age-related, height-based (ARHB); nose-ear-xiphoid (NEX); and nose-ear-mid-umbilicus (NEMU).
Design and Methods. The design was a randomized controlled trial. Children were randomly assigned to the ARHB, NEX, or NEMU groups. Tubes placed high were considered to be misplaced.
Results. There were significant differences in percentages of correctly placed tubes, with ARHB and NEMU being more accurate than NEX.
Practice Implications. NEX should no longer be used as a gastric tube insertion-length predictor. Either ARHB or NEMU should be used.