Atalay Yunus Oktay, Polat Ahmet Veysel, Ozkan Elif Ozyazici, Tomak Leman, Aygun Canan, Tobias Joseph Drew
Department of Anesthesiology, Istanbul Medipol University, International School of Medicine, Istanbul, Turkey.
Department of Radiology, Ondokuz Mayis University, Samsun, Turkey.
Saudi J Anaesth. 2019 Jan-Mar;13(1):23-27. doi: 10.4103/sja.SJA_413_18.
Naso/Orogastric tube (NOGT) misplacement can lead to significant complications. Therefore, the assessment of tube position is essential to ensure patient safety. Although radiography is considered the gold standard for determining NOGT location, new methods may be helpful in reducing repetitive radiation exposure, especially for neonates. In this study, we sought to investigate if bedside ultrasonography (BUSG) can be used to verify NOGT placement in neonatal intensive care patients.
Infants requiring NOGT placement were enrolled. After insertion of the NOGT, the location was first identified using BUSG and then confirmed using abdominal radiography for comparison.
The study cohort included 51 infants with an average gestational age of 34 ± 4.9 weeks. BUSG determined the NOGT location correctly with a sensitivity of 92.2%. The location of the NOGT could not be determined by BUSG in four neonates (7.8%). In one infant, the NOGT was positioned in the esophagus, as determined both by BUSG and radiography.
BUSG is a promising diagnostic tool for determining NOGT location in neonates, thereby eliminating the need for abdominal radiography.
鼻/口胃管（NOGT）误置可导致严重并发症。因此，评估导管位置对于确保患者安全至关重要。尽管放射照相术被认为是确定NOGT位置的金标准，但新方法可能有助于减少重复性辐射暴露，尤其是对新生儿而言。在本研究中，我们试图调查床边超声检查（BUSG）是否可用于验证新生儿重症监护患者的NOGT放置情况。
纳入需要放置NOGT的婴儿。插入NOGT后，首先使用BUSG确定其位置，然后使用腹部放射照相术进行确认以作比较。
研究队列包括51名婴儿，平均胎龄为34±4.9周。BUSG正确确定NOGT位置的灵敏度为92.2%。四名新生儿（7.8%）无法通过BUSG确定NOGT位置。在一名婴儿中，BUSG和放射照相术均确定NOGT位于食管内。
BUSG是一种有前景的诊断工具，可用于确定新生儿的NOGT位置，从而无需进行腹部放射照相术。
