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The effectiveness of the RightSpotpH® Indicator has been validated through clinical studies. A significant study published in the International Journal of Emergency Medicine demonstrated that the device is sensitive and specific for determining intragastric pH levels below or above 5.5, a common threshold used for confirming nasogastric tube placement.
If the tube is to remain in place then a tube position check is recommended before each feed and at least once per day. Only smaller diameter (12 Fr or less in adults) nasogastric tubes are appropriate for long-term feeding, so as to avoid irritation and erosion of the nasal mucosa. These tubes often have guidewires to facilitate insertion.
The gold standard for checking and confirming NG tube placement is to aspirate some fluid and check the pH level. The pH level of gastric secretions should be between 4-6. A secondary way to confirm placement (no longer the gold standard) is to auscultate using a stethoscope by placing the diaphragm of the stethoscope over the stomach and ...
On the other hand, if the tube is measured too short, the tip of the NG tube may only reach the esophagus. Due to how close the esophagus is located to the trachea, NG tube placement in the esophagus can be a risk factor for aspiration. [7] As a result, an abdominal X-ray is often performed following NG tube placement to confirm proper ...
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This position is frequently used when feeding a patient (especially one on feeding precautions), for radiology, needing to take a specific type of x-ray at the bedside, (at times) when a breathing treatment is being given to the patient, when the patient is having difficulty breathing, for nasogastric tube insertion, for dependent drainage ...
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Gastric lavage, also commonly called stomach pumping or gastric irrigation or gastric suction, is the process of cleaning out the contents of the stomach using a tube. Since its first recorded use in the early 19th century, it has become one of the most routine means of eliminating poisons from the stomach. [1]