Correct placement of bronchial tubes

Competence in confirming correct placement of nasogastric feeding tubes amongst FY1 doctors

Foundation year one (FY1) doctors are required to confirm correct placement of nasogastric (NG) feeding tubes on chest radiography on a regular basis. Many FY1s do not receive formal training during medical school or during the FY1 year. Multiple incidents of harm to patients, including death, resulting from incorrect placement of an NG feeding tube have been reported to the National Patient Sa...

Confirming placement of nasogastric feeding tubes.

A 78-year-old alert woman in hospital was being fed through a nasogastric tube because of deconditioning. She was taking acetylsalicylic acid for ischemic cardiomyopathy, and a vitamin K antagonist for atrial fibrillation and a recent axillobifemoral bypass thrombosis. She had a permanent right-side nephrostomy after receiving an injury to the ureter during the bypass surgery. She did not have ...

Question 2 Should carbon dioxide detectors be used to check correct placement of endotracheal tubes in preterm and term neonates?

SCENARIO The Pedi-Cap device (Covidien, Mansfi eld, Massachusetts, USA) is frequently used in neonatal resuscitation to check the position of the endotracheal (ET) tube in term and preterm neonates. As a paediatric trainee having worked in various regions of the UK you note a huge variability in this practice. Clinical assessment of chest expansion and air entry, with improvement in saturations...

A novel method of blind bedside placement of postpyloric tubes

We read with great interest the recent report on blind bedside postpyloric placement by Lv et al. [1]. Their methods were proven to be safe and effective in intensive care units. Although our placing procedure is similar to that reported by the authors, the choice of a postpyloric tube and the patient’s position requires further improvement. In our center, we use a 130-cm long transpyloric tube...

Blind Bedside Placement of Feeding Tubes : Treatment or Threat ?