Browsing by Author "Croffie, Joseph M. B."

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Comparing Bedside Methods of Determining Placement of Gastric Tubes in Children
    (Wiley, 2014-01) Cirgin Ellett, Marsha L.; Cohen, Mervyn D.; Croffie, Joseph M. B.; Lane, Kathleen A.; Austin, Joan K.; Perkins, Susan M.; IU School of Nursing
    Purpose The purpose of this study was to compare the accuracy and predictive validity of pH, bilirubin, and CO2 in identifying gastric tube placement errors in children. Design and Methods After the tube was inserted into 276 children, the CO2 monitor reading was obtained. Fluid was then aspirated to test pH and bilirubin. Results Lack of ability to obtain tube aspirate was the best predictor of NG/OG placement errors with a sensitivity of 34.9% and a positive predictive value of 66.7%. Measuring pH, bilirubin, and CO2 of tube aspirate was less helpful. Practice Implications Health care providers should suspect NG/OG tube misplacement when no fluid is aspirated.
  • Thumbnail Image
    Item
    Comparing Methods of Determining Insertion Length for Placing Gastric Tubes in Children 1 Month to 17 Years of Age
    (Wiley, 2012) Cirgin Ellett, Marsha L.; Cohen, Mervyn D.; Perkins, Susan M.; Croffie, Joseph M. B.; Lane, Kathleen A.; Austin, Joan K.; School of Nursing
    Purpose: The purpose was to compare three methods of predicting the gastric tube insertion length in children 1 month to 17 years of age: age-related, height-based (ARHB); nose-ear-xiphoid (NEX); and nose-ear-mid-umbilicus (NEMU). Design and methods: The design was a randomized controlled trial. Children were randomly assigned to the ARHB, NEX, or NEMU groups. Tubes placed high were considered to be misplaced. Results: There were significant differences in percentages of correctly placed tubes, with ARHB and NEMU being more accurate than NEX. Practice implications: NEX should no longer be used as a gastric tube insertion-length predictor. Either ARHB or NEMU should be used.