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Author Galbois, Arnaud ♦ Vitry, Paola ♦ Ait-Oufella, Hafid ♦ Baudel, Jean-Luc ♦ Guidet, Bertrand ♦ Maury, Eric ♦ Offenstadt, Georges
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Social sciences ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Pharmacology and therapeutics ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Diagnosis ♦ Therapeutics ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Persons ♦ Persons ♦ Health Care Facilities, Manpower, and Services ♦ Health Care
Subject Keyword Discipline Critical Care ♦ Calorimetry, Indirect ♦ Capnography ♦ Methods ♦ Intubation, Gastrointestinal ♦ Aged ♦ Auscultation ♦ Female ♦ Humans ♦ Intensive Care Units ♦ Male ♦ Prospective Studies ♦ Radiography, Thoracic ♦ Evaluation Studies ♦ Journal Article
Abstract PURPOSE: Radiography is the criterion standard method to ensure correct placement of a feeding tube. Recently, excellent results were reported using a combination of colorimetric capnography and epigastric auscultation, but the impact of this technique has not been studied to date. Objectives were to assess whether our local procedure, using colorimetric capnography to ensure proper feeding tube placement, improves the patient's care, satisfies nurses, and decreases costs compared with the standard procedure requiring systematic radiography. MATERIAL AND METHODS: We performed a monocentric prospective observational study in a medical intensive care unit over a 4-month period. Feeding tube placement was assessed by colorimetric capnography and epigastric auscultation. Radiography was performed when epigastric auscultation was inconclusive. RESULTS: A total of 69 feeding tubes were placed in 44 patients. Radiography was required in 10.1% of the cases. The new procedure decreased costs (\$33.37 ± 13.96 vs \$45.92, P < .0001) and was less time consuming (11.6 ± 20.5 minutes vs 87.3 ± 45.2 minutes, P < .0001) than using systematic radiography. All nurses reported confidence in the procedure, which improved the organization of their care. CONCLUSIONS: The use of colorimetric capnography and epigastric auscultation to confirm feeding tube placement improves nurse's organization of care, saves time, and decreases costs.
Description Country affiliation: France
Author Affiliation: Galbois A ( Service de Réanimation Médicale, Hôpital Saint-Antoine (AP-HP), 184 rue du faubourg Saint-Antoine, 75571, Paris Cedex 12, France. galbois@gmail.com)
ISSN 08839441
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2011-08-01
Publisher Place United States
e-ISSN 15578615
Journal Journal of Critical Care
Volume Number 26
Issue Number 4


Source: WHO-Global Index Medicus