Disclosure: The authors report no actual or potential conflicts of interests.
Comparing bedside methods of determining placement of gastric tubes in children
Version of Record online: 8 NOV 2013
© 2013, Wiley Periodicals, Inc
Journal for Specialists in Pediatric Nursing
Volume 19, Issue 1, pages 68–79, January 2014
How to Cite
Ellett, M. L. C., Cohen, M. D., Croffie, J. M. B., Lane, K. A., Austin, J. K. and Perkins, S. M. (2014), Comparing bedside methods of determining placement of gastric tubes in children. Journal for Specialists in Pediatric Nursing, 19: 68–79. doi: 10.1111/jspn.12054
This research was funded by the National Institute for Nursing Research (Marsha Ellett, PI), NR08111, and by the General Clinical Research Center (Marsha Ellett, PI), M01 RR00750.
- Issue online: 2 JAN 2014
- Version of Record online: 8 NOV 2013
- Manuscript Accepted: 19 SEP 2013
- Manuscript Received: 26 AUG 2013
- National Institute for Nursing Research. Grant Number: NR08111
- General Clinical Research Center. Grant Number: M01 RR00750
- CO2 monitoring;
- nasogastric tube;
The purpose of this study was to compare the accuracy and predictive validity of pH, bilirubin, and CO2 in identifying gastric tube placement errors in children.
Design and Methods
After the tube was inserted into 276 children, the CO2 monitor reading was obtained. Fluid was then aspirated to test pH and bilirubin.
Lack of ability to obtain tube aspirate was the best predictor of NG/OG placement errors with a sensitivity of 34.9% and a positive predictive value of 66.7%. Measuring pH, bilirubin, and CO2 of tube aspirate was less helpful.
Healthcare providers should suspect NG/OG tube misplacement when no fluid is aspirated.