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World Journal of Surgery
Erschienen in: World Journal of Surgery 9/2015

01.09.2015 | Scientific Review

Naso-enteric Tube Placement: A Review of Methods to Confirm Tip Location, Global Applicability and Requirements

verfasst von: S. A. Milsom, J. A. Sweeting, H. Sheahan, E. Haemmerle, J. A. Windsor

Erschienen in: World Journal of Surgery | Ausgabe 9/2015

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Abstract

Background

The insertion of a tube through the nose and into the stomach or beyond is a common clinical procedure for feeding and decompression. The safety, accuracy and reliability of tube insertion and methods used to confirm the location of the naso-enteric tube (NET) tip have not been systematically reviewed. The aim of this study is to review and compare these methods and determine their global applicability by end-user engagement.

Methods

A systematic literature review of four major databases was performed to identify all relevant studies. The methods for NET tip localization were then compared for their accuracy with reference to a gold standard method (radiography or endoscopy). The global applicability of the different methods was analysed using a house of quality matrix.

Results

After applying the inclusion and exclusion criteria, 76 articles were selected. Limitations were found to be associated with the 20 different methods described for NET tip localization. The method with the best combined sensitivity and specificity (where n > 1) was ultrasound/sonography, followed by external magnetic guidance, electromagnetic methods and then capnography/capnometry. The top three performance criteria that were considered most important for global applicability were cost per tube/disposable, success rate and cost for non-disposable components.

Conclusion

There is no ideal method for confirming NET tip localisation. While radiography (the gold standard used for comparison) and ultrasound were the most accurate methods, they are costly and not universally available. There remains the need to develop a low-cost, easy-use, accurate and reliable method for NET tip localization.
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Metadaten
Titel
Naso-enteric Tube Placement: A Review of Methods to Confirm Tip Location, Global Applicability and Requirements
verfasst von
S. A. Milsom
J. A. Sweeting
H. Sheahan
E. Haemmerle
J. A. Windsor
Publikationsdatum
01.09.2015
Verlag
Springer International Publishing
Erschienen in
World Journal of Surgery / Ausgabe 9/2015
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-015-3077-6

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