A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients

Abdominal X-rays, the diagnostic method for enteral feeding tube (EFT) positioning, are a source of irradiation for the patients and carry a potential risk of adverse effects. Data related to ultrasound (US)-guided EFT placement are scarce. We evaluated 41 patients with 41 EFT insertions with guidew...

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Detalles Bibliográficos
Autores principales: Nedel, Wagner Luis, Jost, Mariana Nunes Ferreira, Filho, João Wilney Franco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Letter to the Editor
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563025/
https://www.ncbi.nlm.nih.gov/pubmed/28828174
http://dx.doi.org/10.1186/s40560-017-0249-5
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author Nedel, Wagner Luis
Jost, Mariana Nunes Ferreira
Filho, João Wilney Franco
author_facet Nedel, Wagner Luis
Jost, Mariana Nunes Ferreira
Filho, João Wilney Franco
author_sort Nedel, Wagner Luis
collection PubMed
description Abdominal X-rays, the diagnostic method for enteral feeding tube (EFT) positioning, are a source of irradiation for the patients and carry a potential risk of adverse effects. Data related to ultrasound (US)-guided EFT placement are scarce. We evaluated 41 patients with 41 EFT insertions with guidewire in place that was maintained until US examination. US detected 38 patients with proper positioning and 3 with inadequate positioning, with a sensitivity of 97% (95% CI 84.9–99.8%) and specificity of 100% (95% CI 19.7–100%). The assessment of EFT position through abdominal US is practical and safe, associated with satisfactory diagnostic accuracy.
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spelling pubmed-55630252017-08-21 A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients Nedel, Wagner Luis Jost, Mariana Nunes Ferreira Filho, João Wilney Franco J Intensive Care Letter to the Editor Abdominal X-rays, the diagnostic method for enteral feeding tube (EFT) positioning, are a source of irradiation for the patients and carry a potential risk of adverse effects. Data related to ultrasound (US)-guided EFT placement are scarce. We evaluated 41 patients with 41 EFT insertions with guidewire in place that was maintained until US examination. US detected 38 patients with proper positioning and 3 with inadequate positioning, with a sensitivity of 97% (95% CI 84.9–99.8%) and specificity of 100% (95% CI 19.7–100%). The assessment of EFT position through abdominal US is practical and safe, associated with satisfactory diagnostic accuracy. BioMed Central 2017-08-18 /pmc/articles/PMC5563025/ /pubmed/28828174 http://dx.doi.org/10.1186/s40560-017-0249-5 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Letter to the Editor
Nedel, Wagner Luis
Jost, Mariana Nunes Ferreira
Filho, João Wilney Franco
A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients
title A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients
title_full A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients
title_fullStr A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients
title_full_unstemmed A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients
title_short A simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients
title_sort simple and fast ultrasonographic method of detecting enteral feeding tube placement in mechanically ventilated, critically ill patients
topic Letter to the Editor
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563025/
https://www.ncbi.nlm.nih.gov/pubmed/28828174
http://dx.doi.org/10.1186/s40560-017-0249-5
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