A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes

Norma A. Metheny, Mary M. Krieger, Frances Healey, Kathleen L. Meert

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations

Abstract

The purpose of this review was to (1) identify areas of agreement and disagreement in guidelines/recommendations to distinguish between gastric and pulmonary placement of nasogastric tube and (2) summarize factors that affect choices made by clinicians regarding which method(s) to use in specific situations. Systematic searches were conducted in the PubMed, Scopus, and CINAHL Plus databases using a combination of keywords and data-specific subject headings. Searches were limited to guidelines/recommendations from national level specialty groups and governmental sources published in the English language between January 1, 2015 and September 20, 2018. Fourteen guidelines that described methods to distinguish between gastric and pulmonary placement of nasogastric tubes were identified from a variety of geographic locations. Tube placement testing methods included in the review were: radiography, respiratory distress, aspirate appearance, aspirate pH, auscultation, carbon dioxide detection and enteral access devices. All fourteen guidelines agreed that radiography is the most accurate testing method. Of the nonradiographic methods, pH testing was most favored; least favored was auscultation.

Original languageEnglish
Pages (from-to)226-235
Number of pages10
JournalHeart and Lung
Volume48
Issue number3
DOIs
StatePublished - May 1 2019

Keywords

  • enteral nutrition
  • gastrointestinal
  • intubation
  • nasogastric tubes
  • practice guidelines
  • tube placement determination

Fingerprint

Dive into the research topics of 'A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes'. Together they form a unique fingerprint.

Cite this