Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest Radiograph
The objective of this study was to verify the nasogastric tube position with neck ultrasound and subxiphoid ultrasound, by giving air-water mixture and auscultation and to compare the effectiveness of these methods with chest radiography. This is a single-center, prospective, single-blind study. Pat...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2018/2370426 |
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| author | Çağdaş Yıldırım Selçuk Coşkun Şervan Gökhan Gül Pamukçu Günaydın Ayhan Özhasenekler Uğur Özkula |
| author_facet | Çağdaş Yıldırım Selçuk Coşkun Şervan Gökhan Gül Pamukçu Günaydın Ayhan Özhasenekler Uğur Özkula |
| author_sort | Çağdaş Yıldırım |
| collection | DOAJ |
| description | The objective of this study was to verify the nasogastric tube position with neck ultrasound and subxiphoid ultrasound, by giving air-water mixture and auscultation and to compare the effectiveness of these methods with chest radiography. This is a single-center, prospective, single-blind study. Patients who were admitted to our emergency department and had an indication of nasogastric tube placement were included. Nasogastric tube localization was verified with neck ultrasound and subxiphoid ultrasound, by giving air-water mixture, auscultation, and direct radiography that was accepted as the ‘gold standard technique’. A total of 49 patients (27 Male, 22 Female) with a mean age of 58.3±22.7 years were included. Sensitivity of neck ultrasound was 91.5%, and positive predictive value was 100%. As for the subxiphoid ultrasound sensitivity was 78.72%. When neck ultrasound + subxiphoid ultrasound and giving water-air mixture were combined sensitivity reached 95.74%. Sensitivity of neck ultrasound + subxiphoid ultrasound + air-water mixture + auscultation was 97.87% and positive predictive value was 100%. In the light of our results, neck and subxiphoid ultrasound seem to be an alternative method for verifying nasogastric tube localization. Combination of the air-water mixture and auscultation with ultrasound improves the sensitivity. |
| format | Article |
| id | doaj-art-c76073b6b62e4be589b05ab894ba63ff |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-c76073b6b62e4be589b05ab894ba63ff2025-02-03T06:06:36ZengWileyEmergency Medicine International2090-28402090-28592018-01-01201810.1155/2018/23704262370426Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest RadiographÇağdaş Yıldırım0Selçuk Coşkun1Şervan Gökhan2Gül Pamukçu Günaydın3Ayhan Özhasenekler4Uğur Özkula5Department of Emergency Medicine, Ankara Yıldırım Beyazıt University Medical School, Ankara 06800, TurkeyDepartment of Emergency Medicine, Ankara Atatürk Training and Research Hospital, Ankara 06800, TurkeyDepartment of Emergency Medicine, Ankara Yıldırım Beyazıt University Medical School, Ankara 06800, TurkeyDepartment of Emergency Medicine, Ankara Atatürk Training and Research Hospital, Ankara 06800, TurkeyDepartment of Emergency Medicine, Ankara Yıldırım Beyazıt University Medical School, Ankara 06800, TurkeyDepartment of Emergency Medicine, Girne University Dr. Suat Günsel Hospital, Girne 99320, KKTC, CyprusThe objective of this study was to verify the nasogastric tube position with neck ultrasound and subxiphoid ultrasound, by giving air-water mixture and auscultation and to compare the effectiveness of these methods with chest radiography. This is a single-center, prospective, single-blind study. Patients who were admitted to our emergency department and had an indication of nasogastric tube placement were included. Nasogastric tube localization was verified with neck ultrasound and subxiphoid ultrasound, by giving air-water mixture, auscultation, and direct radiography that was accepted as the ‘gold standard technique’. A total of 49 patients (27 Male, 22 Female) with a mean age of 58.3±22.7 years were included. Sensitivity of neck ultrasound was 91.5%, and positive predictive value was 100%. As for the subxiphoid ultrasound sensitivity was 78.72%. When neck ultrasound + subxiphoid ultrasound and giving water-air mixture were combined sensitivity reached 95.74%. Sensitivity of neck ultrasound + subxiphoid ultrasound + air-water mixture + auscultation was 97.87% and positive predictive value was 100%. In the light of our results, neck and subxiphoid ultrasound seem to be an alternative method for verifying nasogastric tube localization. Combination of the air-water mixture and auscultation with ultrasound improves the sensitivity.http://dx.doi.org/10.1155/2018/2370426 |
| spellingShingle | Çağdaş Yıldırım Selçuk Coşkun Şervan Gökhan Gül Pamukçu Günaydın Ayhan Özhasenekler Uğur Özkula Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest Radiograph Emergency Medicine International |
| title | Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest Radiograph |
| title_full | Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest Radiograph |
| title_fullStr | Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest Radiograph |
| title_full_unstemmed | Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest Radiograph |
| title_short | Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest Radiograph |
| title_sort | verifying the placement of nasogastric tubes at an emergency center comparison of ultrasound with chest radiograph |
| url | http://dx.doi.org/10.1155/2018/2370426 |
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