Echography as a simple and fast way for evaluation of right enteral feeding tubes placement in critical ill patients with mechanical ventilation

Authors

  • Antonia Charco Roca FEA Servicio de Anestesiología y Cuidados Intensivos. Hospital Marina Salud Denia, Alicante
  • María Beatriz Serna Gandía FEA Servicio de Anestesiología y Cuidados Intensivos. Hospital Marina Salud Denia, Alicante
  • Julio Reguera Rosal Cirugía General, Hospital IMED-Levante. Benidorm, Alicante.

DOI:

https://doi.org/10.30445/rear.v10i7.724

Keywords:

critical care patient, enteral nutrition, abdominal ultrasound, Nasoenteric tube

Abstract

Abdominal X-rays (AXRs) is the classic radiological procedure used to assess placement of a nasoenteric tube (NET). As a disadvantage, AXRs expose the patient to a dose of ionizing radiation and can cause potential adverse effects in the future. There are few studies about NET placement and ultrasound (US) assessment.

Authors studied 41 patients undergoing NET placement keeping the wire until correct placement US assessment. Correct placement occurred in 38 patients, with a 97% sensitivity (confidence interval, 95%: 84.9-99.8%) and a 100% specificity (CI 95%: 19.7-100%).

NET placement evaluation with abdominal US is a safe and practical procedure, associated with accurate diagnostic outcomes.

References

1. McClave SA, Taylor BE, Martindale RG, Warren MM, Johnson DR, Braunschweig C, McCarthy MS, Davanos E, Rice TW, Cresci GA, Gervasio JM, Sacks GS, Roberts PR, Compher C. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). J Parenter Enter Nutr. 2016;40:159–211.
2. Gok F, Kilicaslan A, Yosunkaya A. Ultrasound-guided nasogastric feeding tube placement in critical care patients. Nutr Clin Pract. 2015;30:257–60.
3. Vigneau C, Baudel JL, Guidet B, Offenstadt G, Maury E. Sonography as an alternative to radiography for nasogastric feeding tube location. Intensive Care Med. 2005;31:1570–2.
4. Frankel HL, Kirkpatrick AW, Elbarbary M, Blaivas M, Desai H, Evans D, Summerfield DT, Slonim A, Breitkreutz R, Price S, Marik PE, Talmor D, Levitov A. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients—part I: general ultrasonography. Crit Care Med. 2015;43:2479–502.
5. Greenberg M, Bejar R, Asser S. Confirmation of transpyloric feeding tube placement by ultrasonography. J Pediatr. 1993;122:413–5.
6. Jiyong J, Tiancha H, Huiquin W, Jingfen J. Effect of gastric versus post-pyloric feeding on the incidence of pneumonia in critically-ill patients: observations from traditional and Bayesian random-effects meta-analysis. Clin Nutr. 2013;32:8–15.

Published

2020-09-10

How to Cite

Charco Roca, A., Serna Gandía, M. B., & Reguera Rosal, J. (2020). Echography as a simple and fast way for evaluation of right enteral feeding tubes placement in critical ill patients with mechanical ventilation. Revista Electrónica AnestesiaR, 10(7), 6. https://doi.org/10.30445/rear.v10i7.724

Issue

Section

Critical reviews of articles

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