Comparing methods of determining insertion length for placing gastric tubes in children 1 month to 17 years of age

Purpose.  The purpose was to compare three methods of predicting the gastric tube insertion length in children 1 month to 17 years of age: age‐related, height‐based (ARHB); nose‐ear‐xiphoid (NEX); and nose‐ear‐mid‐umbilicus (NEMU). Design and Methods.  The design was a randomized controlled trial. C...

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Bibliographic Details
Published in:Journal for specialists in pediatric nursing 2012-01, Vol.17 (1), p.19-32
Main Authors: Ellett, Marsha L. Cirgin, Cohen, Mervyn D., Perkins, Susan M., Croffie, Joseph M. B., Lane, Kathleen A., Austin, Joan K.
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Children
enteral feeding
feeding tube
Female
Humans
Infant
Infant, Newborn
Intubation, Gastrointestinal - methods
Logistic Models
Male
Nursing
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Summary:Purpose.  The purpose was to compare three methods of predicting the gastric tube insertion length in children 1 month to 17 years of age: age‐related, height‐based (ARHB); nose‐ear‐xiphoid (NEX); and nose‐ear‐mid‐umbilicus (NEMU). Design and Methods.  The design was a randomized controlled trial. Children were randomly assigned to the ARHB, NEX, or NEMU groups. Tubes placed high were considered to be misplaced. Results.  There were significant differences in percentages of correctly placed tubes, with ARHB and NEMU being more accurate than NEX. Practice Implications.  NEX should no longer be used as a gastric tube insertion‐length predictor. Either ARHB or NEMU should be used.
ISSN:1539-0136
1744-6155
DOI:10.1111/j.1744-6155.2011.00302.x