Matches in SemOpenAlex for { <https://semopenalex.org/work/W4240907319> ?p ?o ?g. }
- W4240907319 endingPage "760" @default.
- W4240907319 startingPage "679" @default.
- W4240907319 abstract "Background Nasogastric tubes are frequently used in the clinical setting for the management of patients who require decompression of the gastrointestinal tract, diagnosis and assessment, nutritional support and medication administration. A variety of bedside methods have been used either individually or in combination to assess NG tube placement. Objectives The objective of this review is to present the best available evidence to support decisions pertaining to methods for determining the correct nasogastric tube placement after insertion. Search strategy A literature search was performed using the following databases MEDLINE (1950 to Sept 2008), CINAHL (1982 to Sept 2008), EMBASE (1980 to Sept 2008) and All EBM Reviews (up to 3rd Quarter 2008). Chinese databases searched included WanFang Data (1998 to Sept 2008), China Journal Net (1994 to Sept 2008), Chinese Medical Current Contents (1994 to Sept 2008), Index to Chinese Periodical Literature (1970 to Sept 2008), and the Chinese Biomedical Literature Database (1980 to Sept 2008). In addition the reference lists of relevant trials and conference proceedings were also scrutinised. Investigators were contacted to elicit further information. Selection criteria Clinical trials, prospective studies, observational studies, case reports, and evaluation studies assessing the diagnostic accuracy of methods for determining the correct placement of nasogastric tube after insertion were considered for inclusion in the meta-analysis. Data collection and analysis Eligibility of the trials for inclusion in the review, details of eligible trials and the methodological quality of the trials were assessed independently by two reviewers. Since not all trials reported true positive, true negative, false positive and false negative rates, these rates were calculated based on the data in the published papers. The two by two tables were reconstructed for each study, and sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio were calculated for each study. Diagnostic studies presenting insufficient data for construction of a two by two table were excluded from statistical analysis, but were included in the narrative part of the review. Main results Twenty-six trials were included in this meta-analysis: three trials investigated the effectiveness of colorimetric capnometry in detecting inadvertent airway intubation; three trials reported the use of capnography to verify tube placement in airway and to differentiate between respiratory and GI tube placement; one trial compared the use of a portable capnograph with a disposable colorimetric CO2 indicator in detecting inadvertent respiratory intubation. There were nine trials made use of a variety of cut-off points based on the biochemical measurement parameters of feeding tube aspirates (pH, bilirubin, pepsin and trypsin) in differentiating gastric from respiratory and intestinal placement of feeding tubes; one trial evaluated the accuracy of six pH test-strips. There were nine trials investigated the effectiveness of using various methods to differentiate between respiratory and GI feeding tube placement which included the use of: spring gauge pressure manometer, magnetic detection, sonography, auscultation and visual inspection of aspirates. Authors' conclusion The limited evidence obtained from the meta-analysis does not provide a substantial base for the development of practice guidelines. However, based on the trials undertaken to date, there is strong evidence to support the use of capnography or colorimetric capnometry for identification of feeding tube placement in mechanically ventilated patients. Until stronger evidence becomes available practice related to the diagnostic tests used within the clinical setting will continue to be dictated by local preferences and cost factors." @default.
- W4240907319 created "2022-05-12" @default.
- W4240907319 creator A5028909185 @default.
- W4240907319 creator A5034292694 @default.
- W4240907319 creator A5034915173 @default.
- W4240907319 creator A5044850510 @default.
- W4240907319 creator A5085990062 @default.
- W4240907319 date "2009-01-01" @default.
- W4240907319 modified "2023-09-27" @default.
- W4240907319 title "Methods for determining the correct nasogastric tube placement after insertion: a meta-analysis" @default.
- W4240907319 cites W11095442 @default.
- W4240907319 cites W1527164577 @default.
- W4240907319 cites W1585716166 @default.
- W4240907319 cites W1816192895 @default.
- W4240907319 cites W1940986980 @default.
- W4240907319 cites W1967714919 @default.
- W4240907319 cites W1976448487 @default.
- W4240907319 cites W1976903639 @default.
- W4240907319 cites W1991687551 @default.
- W4240907319 cites W1992770504 @default.
- W4240907319 cites W2007289564 @default.
- W4240907319 cites W2009170051 @default.
- W4240907319 cites W2030459067 @default.
- W4240907319 cites W2040296373 @default.
- W4240907319 cites W2051311068 @default.
- W4240907319 cites W2054076896 @default.
- W4240907319 cites W2056150924 @default.
- W4240907319 cites W2060878772 @default.
- W4240907319 cites W2061575738 @default.
- W4240907319 cites W2065531564 @default.
- W4240907319 cites W2068984305 @default.
- W4240907319 cites W2079577665 @default.
- W4240907319 cites W2080328772 @default.
- W4240907319 cites W2081177395 @default.
- W4240907319 cites W2104283490 @default.
- W4240907319 cites W2151166219 @default.
- W4240907319 cites W2165244071 @default.
- W4240907319 cites W2169160087 @default.
- W4240907319 cites W2324615268 @default.
- W4240907319 cites W4251346042 @default.
- W4240907319 cites W4317526597 @default.
- W4240907319 cites W4317675825 @default.
- W4240907319 doi "https://doi.org/10.11124/jbisrir-2009-197" @default.
- W4240907319 hasPublicationYear "2009" @default.
- W4240907319 type Work @default.
- W4240907319 citedByCount "7" @default.
- W4240907319 countsByYear W42409073192015 @default.
- W4240907319 countsByYear W42409073192017 @default.
- W4240907319 countsByYear W42409073192018 @default.
- W4240907319 countsByYear W42409073192021 @default.
- W4240907319 countsByYear W42409073192022 @default.
- W4240907319 crossrefType "journal-article" @default.
- W4240907319 hasAuthorship W4240907319A5028909185 @default.
- W4240907319 hasAuthorship W4240907319A5034292694 @default.
- W4240907319 hasAuthorship W4240907319A5034915173 @default.
- W4240907319 hasAuthorship W4240907319A5044850510 @default.
- W4240907319 hasAuthorship W4240907319A5085990062 @default.
- W4240907319 hasConcept C126322002 @default.
- W4240907319 hasConcept C159110408 @default.
- W4240907319 hasConcept C17744445 @default.
- W4240907319 hasConcept C177713679 @default.
- W4240907319 hasConcept C19527891 @default.
- W4240907319 hasConcept C199539241 @default.
- W4240907319 hasConcept C23131810 @default.
- W4240907319 hasConcept C27415008 @default.
- W4240907319 hasConcept C2779473830 @default.
- W4240907319 hasConcept C2781145037 @default.
- W4240907319 hasConcept C535046627 @default.
- W4240907319 hasConcept C71924100 @default.
- W4240907319 hasConcept C95190672 @default.
- W4240907319 hasConceptScore W4240907319C126322002 @default.
- W4240907319 hasConceptScore W4240907319C159110408 @default.
- W4240907319 hasConceptScore W4240907319C17744445 @default.
- W4240907319 hasConceptScore W4240907319C177713679 @default.
- W4240907319 hasConceptScore W4240907319C19527891 @default.
- W4240907319 hasConceptScore W4240907319C199539241 @default.
- W4240907319 hasConceptScore W4240907319C23131810 @default.
- W4240907319 hasConceptScore W4240907319C27415008 @default.
- W4240907319 hasConceptScore W4240907319C2779473830 @default.
- W4240907319 hasConceptScore W4240907319C2781145037 @default.
- W4240907319 hasConceptScore W4240907319C535046627 @default.
- W4240907319 hasConceptScore W4240907319C71924100 @default.
- W4240907319 hasConceptScore W4240907319C95190672 @default.
- W4240907319 hasIssue "16" @default.
- W4240907319 hasLocation W42409073191 @default.
- W4240907319 hasOpenAccess W4240907319 @default.
- W4240907319 hasPrimaryLocation W42409073191 @default.
- W4240907319 hasRelatedWork W2105116477 @default.
- W4240907319 hasRelatedWork W2164143189 @default.
- W4240907319 hasRelatedWork W2227517379 @default.
- W4240907319 hasRelatedWork W2377958650 @default.
- W4240907319 hasRelatedWork W2913164441 @default.
- W4240907319 hasRelatedWork W2969467855 @default.
- W4240907319 hasRelatedWork W4225116982 @default.
- W4240907319 hasRelatedWork W4283781739 @default.
- W4240907319 hasRelatedWork W4294126851 @default.
- W4240907319 hasRelatedWork W2903040050 @default.
- W4240907319 hasVolume "7" @default.