Effectiveness of the auscultatory and pH methods in predicting feeding tube placement

Basit Öğe Kaydı
dc.contributor.authorTurgay, Ayse San
dc.contributor.authorKhorshid, Leyla
dc.date.accessioned2025-01-27T20:38:51Z
dc.date.available2025-01-27T20:38:51Z
dc.date.issued2010
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractAims and objectives. This study was designed to determine the effectiveness of the auscultatory and pH methods in predicting feeding tube location in critically ill patients. Background. There is confusion about how nurses should asses feeding tubes location at the bedside. The most common method for determining tube location is the auscultatory method. It is known that auscultation is an unreliable method and additional data relating to bedside methods are needed to assist nurses in making a decision regarding tube location. Design. A methodological study. Methods. The sample consisted of 44 new insertions of feeding tubes. Data from a total of 44 auscultations relating to tube position and gastrointestinal aspirates for pH were obtained from 32 critically ill adult patients ranging in age from 38-87 years. Results from the auscultatory and pH tests were compared with the location of the tube as determined by radiography. A total of 44 feeding tube applications were investigated using the auscultatory and pH methods and concurrently with X-rays to determine the feeding tube position. Nurses used the auscultatory method to predict tube position, a concurrent researcher aspirated fluid from the feeding tube, and samples were tested for pH within five minutes of radiographs taken to determine tube location. pH was measured with a test strip. Results. Mean pH level in the gastrointestinal aspirates was 4 center dot 23 (SD 1 center dot 20). Approximately 89% of the pH strip readings from gastrointestinal fluid were between 0-5. A pH of < 5 successfully identified 90 center dot 4% of the 44 feeding tube cases. Conclusion. The pH method is effective in determining the feeding tube position, but the auscultatory method is not effective in determining the feeding tube position. Relevance to clinical practice. Simple bedside assessment of gastrointestinal aspirate pH is useful for predicting feeding tube position.
dc.description.sponsorshipResearch Foundation of Ege University, Izmir, Turkey
dc.description.sponsorshipThis study was supported by the Research Foundation of Ege University, Izmir, Turkey.
dc.identifier.doi10.1111/j.1365-2702.2010.03191.x
dc.identifier.endpage1559
dc.identifier.issn0962-1067
dc.identifier.issue11-12
dc.identifier.pmid20579197
dc.identifier.scopus2-s2.0-77955938633
dc.identifier.scopusqualityQ1
dc.identifier.startpage1553
dc.identifier.urihttps://doi.org/10.1111/j.1365-2702.2010.03191.x
dc.identifier.urihttps://hdl.handle.net/20.500.12428/23776
dc.identifier.volume19
dc.identifier.wosWOS:000277710000010
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley-Blackwell
dc.relation.ispartofJournal of Clinical Nursing
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectartificial feeding
dc.subjectausculation
dc.subjectnasogastric
dc.subjectnurses
dc.subjectnursing
dc.subjectpH
dc.titleEffectiveness of the auscultatory and pH methods in predicting feeding tube placement
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu