Ultrasound-Guided Nasogastric Feeding Tube Placement in Critical Care Patients

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dc.contributor.authorGok, Funda
dc.contributor.authorKilicaslan, Alper
dc.contributor.authorYosunkaya, Alper
dc.date.accessioned2024-02-23T14:26:58Z
dc.date.available2024-02-23T14:26:58Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractBackground: Nasogastric feeding tube (NGT) placement is a common practice performed in intensive care units (ICUs). Complications due to the improper placement of NGT are well known. In this prospective descriptive study, the effectiveness of ultrasound (US)-guided NGT placement was investigated. Materials and Methods: Fifty-six mechanically ventilated patients monitored in the ICU were included. A linear US probe was transversely placed just cranial to the suprasternal notch, and the concentric layers of the esophagus were attempted to be viewed on the posterolateral side of the trachea (generally left) by shifting the probe. If the esophagus can be seen, an attempt was made to insert the NGT under real-time visualization of ultrasonography. Furthermore, gastric placement of the NGT tip was confirmed with abdominal radiograph. Results: A total of 56 patients were included in the study. For 52 (92.8%), the NGT image was obtained during placement within the esophagus. For 3 (5.3%), the esophagus could not be seen by US, and NGT was placed blindly. For 1 patient, we could not detect passing of the NGT into the stomach despite the successful visualization of esophagus. In this patient, NGT was radiographically detected in the trachea after the procedure. Conclusion: This study revealed that passing of the NGT through the esophagus could be visualized at a high rate in real-time US among ICU patients. These data suggest that ultrasonographic visualization of the upper esophagus during NGT insertion can be used as an adjuvant method for confirmation of correct placement.en_US
dc.identifier.doi10.1177/0884533614567714
dc.identifier.endpage260en_US
dc.identifier.issn0884-5336
dc.identifier.issn1941-2452
dc.identifier.issue2en_US
dc.identifier.pmid25616518en_US
dc.identifier.scopus2-s2.0-84927133638en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage257en_US
dc.identifier.urihttps://doi.org/10.1177/0884533614567714
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14397
dc.identifier.volume30en_US
dc.identifier.wosWOS:000352487800011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofNutrition In Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGastrointestinal Intubationen_US
dc.subjectEnteral Nutritionen_US
dc.subjectNutritional Supporten_US
dc.subjectUltrasonographyen_US
dc.subjectRadiographyen_US
dc.subjectNasogastric Feeding Tubeen_US
dc.subjectCritical Careen_US
dc.titleUltrasound-Guided Nasogastric Feeding Tube Placement in Critical Care Patientsen_US
dc.typeArticleen_US

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