1. A biologically transparent illumination device is more useful in children for detecting the position of the nasogastric tube in the stomach.
- Author
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Satake R, Yamakawa H, Aoki N, Tanaka R, Yoshimoto S, Okunobo T, Nakamura H, and Doi T
- Subjects
- Humans, Male, Female, Prospective Studies, Child, Preschool, Child, Infant, Adolescent, Infant, Newborn, Lighting instrumentation, Equipment Design, Intubation, Gastrointestinal methods, Intubation, Gastrointestinal instrumentation, Stomach
- Abstract
Purpose: The study aimed to evaluate the efficacy of the Biologically Transparent Illumination (BTI) device for confirming the correct placement of nasogastric (NG) tubes in children, as an alternative to X-ray, which exposes patients to radiation., Methods: In this prospective observational study, 106 pediatric patients (ages 0-16) undergoing NG-tube insertion after general anesthesia were evaluated. The BTI catheter was used to emit bio-permeable red light from the NG tube, which was then visually confirmed in the cervical, thoracic, and epigastric regions. X-ray confirmed NG-tube placement in all patients. The ethics committee approved the study., Results: The average patient age was 3.8 years, with a male-to-female ratio of 72:34. BTI was successfully detected in the epigastric area in 105 of 106 patients, with one 9-year-old patient having unclear BTI visibility. X-ray confirmed NG-tube placement in the stomach for all patients, resulting in a BTI sensitivity of 99%. The mean NG-tube insertion time was 38 s, and the mean abdominal thickness was 9.8 mm., Conclusions: The BTI device proved to be a safe and effective method for NG-tube placement in children, offering a radiation-free alternative with 100% successful placement when BTI was detected in the epigastric area., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) more...
- Published
- 2024
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