Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement.
BACKGROUND: Correct placement of nasogastric tubes provide proper functionality and maximize benefit and minimize risk. The Nose-Ear-Xiphoid (NEX) body surface estimate method is a long-lasting technique, and this study was conducted to evaluate the correlation between NEX method and the secure inse...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2014-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3919749?pdf=render |
| _version_ | 1828402376997863424 |
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| author | Yen-Chun Chen Lien-Yen Wang Yu-Jun Chang Chao-Pin Yang Tsung-Ju Wu Fung-Ru Lin Sen-Yung Liu Ta-Sen Wei |
| author_facet | Yen-Chun Chen Lien-Yen Wang Yu-Jun Chang Chao-Pin Yang Tsung-Ju Wu Fung-Ru Lin Sen-Yung Liu Ta-Sen Wei |
| author_sort | Yen-Chun Chen |
| collection | DOAJ |
| description | BACKGROUND: Correct placement of nasogastric tubes provide proper functionality and maximize benefit and minimize risk. The Nose-Ear-Xiphoid (NEX) body surface estimate method is a long-lasting technique, and this study was conducted to evaluate the correlation between NEX method and the secure insertion depth of nasogastric tube. MATERIALS AND METHODS: Thirty patients with nasogastric tube insertion who received whole body positron emission tomography with computerized tomography scan (PET-CT) were recruited. All data were gathered in the image center, which included Nose-Ear (NE), Ear-Xiphoid (EX), Nose-Ear-Xiphoid (NEX), glabella-xiphoid (GX) and glabella-umbilicus (GU) lengths. The distances of the inserted portion of the nasogastric tube between the cardiac and the nostril were measured by multiplanar reconstruction algorithm. RESULTS: Only one patient successfully placed all side-holes into the stomach while using NEX method to estimate inserting depth. Twenty-nine patients (96.7%) failed to place correctly. Fourteen participants had one or more side-holes in both the esophagus and the stomach sides. Fifteen patients could not pass through any side-hole across the gastroesophageal junction. They had shorter EX distances (p = 0.02), but no difference among the NE distances. Body height had the highest statistical correlation with nasogastric tube length (adjusted R(2) = 0.459), as compared with the NEX, GX and GU body surface methods. CONCLUSION: This study suggests that NEX method is inappropriate for adult patients to estimate the ideal inserting length of nasogastric tube. Physicians should realize these underinsertions with any side-hole above the gastroesophageal junctions may increase the potential risk of complications. |
| first_indexed | 2024-12-10T09:59:26Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-10T09:59:26Z |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-134330832b764ff59273a35e5168f17f2022-12-22T01:53:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0192e8804610.1371/journal.pone.0088046Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement.Yen-Chun ChenLien-Yen WangYu-Jun ChangChao-Pin YangTsung-Ju WuFung-Ru LinSen-Yung LiuTa-Sen WeiBACKGROUND: Correct placement of nasogastric tubes provide proper functionality and maximize benefit and minimize risk. The Nose-Ear-Xiphoid (NEX) body surface estimate method is a long-lasting technique, and this study was conducted to evaluate the correlation between NEX method and the secure insertion depth of nasogastric tube. MATERIALS AND METHODS: Thirty patients with nasogastric tube insertion who received whole body positron emission tomography with computerized tomography scan (PET-CT) were recruited. All data were gathered in the image center, which included Nose-Ear (NE), Ear-Xiphoid (EX), Nose-Ear-Xiphoid (NEX), glabella-xiphoid (GX) and glabella-umbilicus (GU) lengths. The distances of the inserted portion of the nasogastric tube between the cardiac and the nostril were measured by multiplanar reconstruction algorithm. RESULTS: Only one patient successfully placed all side-holes into the stomach while using NEX method to estimate inserting depth. Twenty-nine patients (96.7%) failed to place correctly. Fourteen participants had one or more side-holes in both the esophagus and the stomach sides. Fifteen patients could not pass through any side-hole across the gastroesophageal junction. They had shorter EX distances (p = 0.02), but no difference among the NE distances. Body height had the highest statistical correlation with nasogastric tube length (adjusted R(2) = 0.459), as compared with the NEX, GX and GU body surface methods. CONCLUSION: This study suggests that NEX method is inappropriate for adult patients to estimate the ideal inserting length of nasogastric tube. Physicians should realize these underinsertions with any side-hole above the gastroesophageal junctions may increase the potential risk of complications.http://europepmc.org/articles/PMC3919749?pdf=render |
| spellingShingle | Yen-Chun Chen Lien-Yen Wang Yu-Jun Chang Chao-Pin Yang Tsung-Ju Wu Fung-Ru Lin Sen-Yung Liu Ta-Sen Wei Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement. PLoS ONE |
| title | Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement. |
| title_full | Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement. |
| title_fullStr | Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement. |
| title_full_unstemmed | Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement. |
| title_short | Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement. |
| title_sort | potential risk of malposition of nasogastric tube using nose ear xiphoid measurement |
| url | http://europepmc.org/articles/PMC3919749?pdf=render |
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