Radiographic Verification of Bedside Feeding Tube Placement Using an Electromagnetic Guided Placement Device

2.50
Hdl Handle:
http://hdl.handle.net/10755/157160
Category:
Abstract
Type:
Presentation
Title:
Radiographic Verification of Bedside Feeding Tube Placement Using an Electromagnetic Guided Placement Device
Author(s):
Powers, Janice; Beeson, Terri; Sptizer, Tracy; Luebbehusen, Michael; Brown, Jamie
Author Details:
Janice Powers, St. Vincent Hospital, Indianapolis, Indiana, USA, email: cjpowers21@aol.com; Terri Beeson; Tracy Spitzer; Michael Luebbehusen; Jamie Brown
Abstract:
PURPOSE: The purpose of this study was to compare the accuracy of an electromagnetic guided placement device for enteric tubes to abdominal radiograph. BACKGROUND: Currently, clinicians depend on radiographic verification to ensure accurate placement of enteric tubes placed at the bedside. This often results in delayed onset of enteric nutrition and increased cost. The use of radiography also exposes the patient to unnecessary radiation. Use of electromagnetic guided technology for bedside feeding tube placement may facilitate more accurate placement and reduced dependence on radiography. METHODS: A sample of two hundred subjects at three separate institutions were prospectively enrolled in this study. An experienced clinician trained in the use of an electromagnetic guided system placed and interpreted the location of the enteric tube based on the screen tracing. Abdominal radiographs were then completed with the use of barium contrast to assure accuracy of radiologic interpretation. The interpretations from electromagnetic guided device as well as the radiographs were compared for accuracy. This comparison was undertaken by experienced clinicians and radiologists. Additional radiograph interpretation was completed by an independent radiologist. RESULTS: Statistical analysis of the data will be performed using Fisher's exact tests, paired t-test and binary logistic regression. Results will include counts of accurate/inaccurate placement using the electromagnetic guided placement device when verified by abdominal radiography. Safety data will also be presented. The predictive value of gender, diagnosis, time and staff on the safety and accuracy of placement will also be evaluated. CONCLUSIONS: At interim analysis, electromagnetic guided placement appears to be an accurate, safe and timely means for placement of enteric tubes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleRadiographic Verification of Bedside Feeding Tube Placement Using an Electromagnetic Guided Placement Deviceen_GB
dc.contributor.authorPowers, Janiceen_GB
dc.contributor.authorBeeson, Terrien_GB
dc.contributor.authorSptizer, Tracyen_GB
dc.contributor.authorLuebbehusen, Michaelen_GB
dc.contributor.authorBrown, Jamieen_GB
dc.author.detailsJanice Powers, St. Vincent Hospital, Indianapolis, Indiana, USA, email: cjpowers21@aol.com; Terri Beeson; Tracy Spitzer; Michael Luebbehusen; Jamie Brownen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157160-
dc.description.abstractPURPOSE: The purpose of this study was to compare the accuracy of an electromagnetic guided placement device for enteric tubes to abdominal radiograph. BACKGROUND: Currently, clinicians depend on radiographic verification to ensure accurate placement of enteric tubes placed at the bedside. This often results in delayed onset of enteric nutrition and increased cost. The use of radiography also exposes the patient to unnecessary radiation. Use of electromagnetic guided technology for bedside feeding tube placement may facilitate more accurate placement and reduced dependence on radiography. METHODS: A sample of two hundred subjects at three separate institutions were prospectively enrolled in this study. An experienced clinician trained in the use of an electromagnetic guided system placed and interpreted the location of the enteric tube based on the screen tracing. Abdominal radiographs were then completed with the use of barium contrast to assure accuracy of radiologic interpretation. The interpretations from electromagnetic guided device as well as the radiographs were compared for accuracy. This comparison was undertaken by experienced clinicians and radiologists. Additional radiograph interpretation was completed by an independent radiologist. RESULTS: Statistical analysis of the data will be performed using Fisher's exact tests, paired t-test and binary logistic regression. Results will include counts of accurate/inaccurate placement using the electromagnetic guided placement device when verified by abdominal radiography. Safety data will also be presented. The predictive value of gender, diagnosis, time and staff on the safety and accuracy of placement will also be evaluated. CONCLUSIONS: At interim analysis, electromagnetic guided placement appears to be an accurate, safe and timely means for placement of enteric tubes.en_GB
dc.date.available2011-10-26T19:28:30Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:28:30Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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