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Cortrak tube placement part 1: confirming by quadrant may be unsafe.
- Source :
-
British Journal of Nursing . 7/13/2017, Vol. 26 Issue 13, p751-755. 5p. 1 Color Photograph, 3 Diagrams, 2 Charts. - Publication Year :
- 2017
-
Abstract
- Gastric confirmation by pH is only achievable in approximately 50% of placements and X-rays are expensive and may be misinterpreted. Bedside electromagnetic (EM) guidance offers real-time confirmation. The authors determined the accuracy of guidance in predicting gastric body position from the EM trace using official Cortrak guidance (the EM trace reaches the bottom left quadrant of the anterior screen) compared with local guidance (detailed anterior-depth description of the GI flexures). X-ray, pH or an EM trace beyond the gastric body were used to independently confirm gastric position. Of 496 EM traces, 49% of tubes were in the oesophagus on entry to the lower left quadrant whereas 12% had already reached the gastric body in the upper left quadrant. Overall, predicting position by quadrant was 70% accurate whereas differentiating the pre-gastro-oesophageal junction (pre-GOJ) from the gastric body flexure was 100% accurate. Confirming gastric position by the anterior trace quadrant appears to be unsafe whereas expert differentiation of the pre-GOJ and gastric body flexures was reliable. The authors invite Corpak Medsystems (now owned by Halyard Health) to update its guidance in view of these findings. [ABSTRACT FROM AUTHOR]
- Subjects :
- *NASOENTERAL tubes
*GASTRIC intubation
*ELECTROMAGNETISM in medicine
*TUBE feeding complications
*HYDROGEN-ion concentration measurement
*X-rays
*GASTROINTESTINAL system physiology
*ECONOMICS
*PREVENTION
*EQUIPMENT & supplies
*ABDOMEN
*AUDITING
*ELECTROMAGNETISM
*EXPERIMENTAL design
*HOSPITAL patients
*INTUBATION
*LONGITUDINAL method
*CONTINUING education of nurses
*ROOMS
*MEDICAL artifacts
*GASTROENTEROLOGY nursing
ESOPHAGUS intubation
Subjects
Details
- Language :
- English
- ISSN :
- 09660461
- Volume :
- 26
- Issue :
- 13
- Database :
- Academic Search Index
- Journal :
- British Journal of Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 124094070
- Full Text :
- https://doi.org/10.12968/bjon.2017.26.13.751