Alternative methods of verifying the positioning of the gastric tube in children

Authors

  • Handria Rodrigues da Silva
  • Lí­via Pereira Ferreira
  • Morgana Thaí­s Carollo Fernandes
  • Amanda Pereira Ferreira Dellanhese

DOI:

https://doi.org/10.36489/saudecoletiva.2020v10i59p4326-4337

Keywords:

Child, Intubation, gastrointestinal, Patient Safety

Abstract

Objective: To identify alternative methods for radiological examination to record the position of the gastric tube in children. Method: Integrative review of the literature performed in the LILACS, MEDLINE and Cochrane databases of articles published from 2005 to 2015. The Health Sciences Descriptors (DeCS) used were: child and gastrointestinal intubation crossed using the booleans operators AND and OR. Results: The final sample consisted of 5 international papers, published between 2005 and 2015, all with an observational design. The methods identified were: measurement of pH and bilirubin, use of litmus paper, capnography, auscultation, air bubbling, absence of gastric residue and characteristics of the aspirate. Conclusion: Non-radiological verification methods in children include gastric auscultation, immersion of the catheter in water, use of litmus paper, characteristics and inability to obtain the aspirate, capnography, pH measurement and bilirubin. However, some of them should be discouraged for use in clinical practice because of their limitations, the main one being to the inability to rule out respiratory placement.

Author Biographies

Handria Rodrigues da Silva

Nurse graduated from Centro Universitário Ritter dos Reis (UniRitter). Resident in Intensive Care at the Federal University of Health Sciences of Porto Alegre (UFCSPA) working at Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA).

Lí­via Pereira Ferreira

Nutritionist. Post-Graduate student in Clinical Nutrition and Maternal and Child Nutrition by Estácio de Sá.

Morgana Thaí­s Carollo Fernandes

Nurse. Post-doctoral student in Child Health from the Pontifical Catholic University of Rio Grande do Sul (PUCRS), with a scholarship from the University of Toronto (UofT). Collaborating Professor of the Multiprofessional Residency in Child Health and Associate Researcher of the Extension and Research Program in Urban Health, Environment and Inequalities at the Federal University of Rio Grande do Sul (UFRGS).

Amanda Pereira Ferreira Dellanhese

Nurse. PhD in Child and Adolescent Health from the Federal University of Rio Grande do Sul. Collaborating Professor of the Integrated Multiprofessional Residence in Collective Health at the Federal University of Rio Grande do Sul.

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Published

2020-12-09

How to Cite

Rodrigues da Silva , H. ., Pereira Ferreira , L. ., Carollo Fernandes, M. T. ., & Pereira Ferreira Dellanhese , A. . (2020). Alternative methods of verifying the positioning of the gastric tube in children. Saúde Coletiva (Barueri), 10(59), 4326–4337. https://doi.org/10.36489/saudecoletiva.2020v10i59p4326-4337

Issue

Vol. 10 No. 59 (2020)

Section

Artigos Cientí­ficos