Quandt Daniel, Schraner Thomas, Ulrich Bucher Hans, Arlettaz Mieth Romaine
Clinic for Neonatology, University Hospital of Zürich, Frauenklinikstrasse 10, 8091 Zürich, Switzerland.
J Pediatr Gastroenterol Nutr. 2009 May;48(5):608-11. doi: 10.1097/MPG.0b013e31818c52a8.
Accurate tube placement of orogastric and nasogastric feeding tubes in neonates is important to ensure safe and effective enteral feeding. Errors in placement and position of feeding tubes are described in literature, but there is little evidence of the exact prevalence of improperly placed tubes, especially in neonates.
To evaluate the prevalence of improperly placed feeding tubes, we reviewed 381 consecutive radiographs and defined the position of the feeding tubes.
We found that in 41% of the placements, the optimal position of the feeding tubes was achieved, whereas overall 59% of the feeding tubes had been placed incorrectly.
There is a need for both better rules to measure the distance between nose (lips) and the body of the stomach and improved methods to confirm correct tube position in neonates.
准确放置新生儿口胃管和鼻胃管对于确保安全有效的肠内喂养至关重要。文献中描述了喂养管放置和位置的错误，但几乎没有证据表明放置不当的管子的确切发生率，尤其是在新生儿中。
为评估喂养管放置不当的发生率，我们回顾了381例连续的X光片并确定了喂养管的位置。
我们发现，在41%的放置中，喂养管达到了最佳位置，而总体上59%的喂养管放置错误。
需要更好的规则来测量鼻（唇）与胃体之间的距离，并改进确认新生儿喂养管正确位置的方法。
