2.50
Hdl Handle:
http://hdl.handle.net/10755/159342
Type:
Presentation
Title:
Examination of Gastric Tube Placement in Young Children
Abstract:
Examination of Gastric Tube Placement in Young Children
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Ellett, Marsha
P.I. Institution Name:IUPUI
Contact Address:Family Health, NU439, 1111 Middle Drive, Indianapolis, IN, 46202-5107, USA
Problem: When the gut is functional, feeding by nasogastric/orogastric (NG/OG) tube is preferred over alternative methods of assisted feeding when the need is expected to be short term. Preliminary studies showed an alarmingly high rate (20.9 to 43.5%) of nasal/oral tubes were placed incorrectly in children. In addition, studies have shown that screens for placement checking (bubbling, auscultation, and pH testing) prior to feeding were inadequate in children. Purpose: The purpose of this study is to test in young children potentially better ways to screen for the position of NG/OG tubes at the bedside. Theoretical/conceptual framework: Anatomic and physiologic theory relative to how the body changes with normal growth and development guide this study. Subjects: One hundred and twenty hospitalized children seven years of age and younger already having a NG/OG tube in place for feeding, medication instillation, and/or decompression of the gastrointestinal tract will be recruited. Method: A cross-sectional design is employed. The position of the tube is screened in all children for tube placement error by (a) measuring CO2 and (b) measuring tube aspirate for pH and bilirubin. Actual tube position is determined by abdominal radiograph within 15 minutes of bedside screening. Data Analysis: Variables will be summarized using descriptive statistics. Univariate cutoff points will be determined by maximizing the sum of the sensitivity and specificity, and then positive and negative predictive values with confidence levels for each of the individual and combined screens will be calculated. Implications: Results will add to the science of nursing so that gastric tube clinical practice in children can be evidence-based. AN: MN030161
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleExamination of Gastric Tube Placement in Young Childrenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159342-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Examination of Gastric Tube Placement in Young Children </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ellett, Marsha</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">IUPUI</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Family Health, NU439, 1111 Middle Drive, Indianapolis, IN, 46202-5107, USA</td></tr><tr><td colspan="2" class="item-abstract">Problem: When the gut is functional, feeding by nasogastric/orogastric (NG/OG) tube is preferred over alternative methods of assisted feeding when the need is expected to be short term. Preliminary studies showed an alarmingly high rate (20.9 to 43.5%) of nasal/oral tubes were placed incorrectly in children. In addition, studies have shown that screens for placement checking (bubbling, auscultation, and pH testing) prior to feeding were inadequate in children. Purpose: The purpose of this study is to test in young children potentially better ways to screen for the position of NG/OG tubes at the bedside. Theoretical/conceptual framework: Anatomic and physiologic theory relative to how the body changes with normal growth and development guide this study. Subjects: One hundred and twenty hospitalized children seven years of age and younger already having a NG/OG tube in place for feeding, medication instillation, and/or decompression of the gastrointestinal tract will be recruited. Method: A cross-sectional design is employed. The position of the tube is screened in all children for tube placement error by (a) measuring CO2 and (b) measuring tube aspirate for pH and bilirubin. Actual tube position is determined by abdominal radiograph within 15 minutes of bedside screening. Data Analysis: Variables will be summarized using descriptive statistics. Univariate cutoff points will be determined by maximizing the sum of the sensitivity and specificity, and then positive and negative predictive values with confidence levels for each of the individual and combined screens will be calculated. Implications: Results will add to the science of nursing so that gastric tube clinical practice in children can be evidence-based. AN: MN030161 </td></tr></table>en_GB
dc.date.available2011-10-26T21:55:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:55:35Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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