2.50
Hdl Handle:
http://hdl.handle.net/10755/161542
Type:
Presentation
Title:
Methods to test feeding tube placement in children
Abstract:
Methods to test feeding tube placement in children
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2001
Author:Westhus, Nina
P.I. Institution Name:Saint Louis University
Contact Address:School of Nursing, 3525 Caroline Street, St. Louis, MO, 63104, USA
Contact Telephone:314.577.8994
The characteristics of feeding tube aspirates (pH, bilirubin, enzyme content) are effective predictors of tube location in acutely ill adults. This study determined how effective these predictors are in children. A convenience sample of 73 children, newborns to adolescents, was obtained at a metropolitan children's hospital. Specific strategies were developed to maximize informed consent. Approximately 2 ml of fluid were withdrawn from children's nasogastric, orogastric, or nasointestinal tubes within 30 minutes of radiographic examination and tested for pH, bilirubin, and enzymes. Results were compared with radiographic results of tube location: 62-stomach, 10-intestine, 1-esophagus. Mean gastric pH was significantly lower than the mean intestinal pH. Mean fasting gastric pepsin (215 ug/ml) was significantly higher than mean fasting intestinal pepsin (25 ug/ml). Usual intestinal constituents were significantly higher in the small bowel (mean fasting trypsin, 70 ug/ml; mean fasting bilirubin, 7.9 mg/dl) than in the stomach (mean fasting trypsin, 10 ug/ml; mean fasting bilirubin, 0.54mg/dl). Methods of aspirating fluid from feeding tubes and testing visually or assaying for aspirate characteristics were adaptable from adults to children. These data suggest that indicators of tube location that are effective in adults are also effective in children.
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.titleMethods to test feeding tube placement in childrenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161542-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Methods to test feeding tube placement in 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">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Westhus, Nina</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Saint Louis University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 3525 Caroline Street, St. Louis, MO, 63104, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">314.577.8994</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">westhusn@slu.edu</td></tr><tr><td colspan="2" class="item-abstract">The characteristics of feeding tube aspirates (pH, bilirubin, enzyme content) are effective predictors of tube location in acutely ill adults. This study determined how effective these predictors are in children. A convenience sample of 73 children, newborns to adolescents, was obtained at a metropolitan children's hospital. Specific strategies were developed to maximize informed consent. Approximately 2 ml of fluid were withdrawn from children's nasogastric, orogastric, or nasointestinal tubes within 30 minutes of radiographic examination and tested for pH, bilirubin, and enzymes. Results were compared with radiographic results of tube location: 62-stomach, 10-intestine, 1-esophagus. Mean gastric pH was significantly lower than the mean intestinal pH. Mean fasting gastric pepsin (215 ug/ml) was significantly higher than mean fasting intestinal pepsin (25 ug/ml). Usual intestinal constituents were significantly higher in the small bowel (mean fasting trypsin, 70 ug/ml; mean fasting bilirubin, 7.9 mg/dl) than in the stomach (mean fasting trypsin, 10 ug/ml; mean fasting bilirubin, 0.54mg/dl). Methods of aspirating fluid from feeding tubes and testing visually or assaying for aspirate characteristics were adaptable from adults to children. These data suggest that indicators of tube location that are effective in adults are also effective in children.</td></tr></table>en_GB
dc.date.available2011-10-26T23:23:04Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:23:04Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.