The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit
The aim of this study was to investigate the role of point of care ultrasound (POCUS) as an alternative imaging modality to confirm the location of gastric and post-pyloric feeding tubes in patients admitted to the pediatric intensive care unit (PICU). This was a prospective descriptive study perfo...
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| Format: | Article |
| Language: | English |
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CINQUILL Medical Publishers Inc.
2025-04-01
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| Series: | POCUS Journal |
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| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/17785 |
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| author | Alonso Marron Michael Wolf Marla Levine Jeremy Boyd Marta Hernanz-Schulman |
| author_facet | Alonso Marron Michael Wolf Marla Levine Jeremy Boyd Marta Hernanz-Schulman |
| author_sort | Alonso Marron |
| collection | DOAJ |
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The aim of this study was to investigate the role of point of care ultrasound (POCUS) as an alternative imaging modality to confirm the location of gastric and post-pyloric feeding tubes in patients admitted to the pediatric intensive care unit (PICU). This was a prospective descriptive study performed at a tertiary care children’s hospital. Patients from birth to 17 years of age in whom the medical team placed a temporary enteral feeding tube were eligible for enrollment. The study physician, who was blinded to the radiographic findings, performed a POCUS study of the abdomen. An abdominal radiograph was obtained to confirm the placement in all patients. A total of 13 patients were enrolled, and 14 abdominal POCUS exams were completed. POCUS accurately identified the location of the enteral feeding tube in 10 of the 14 cases. POCUS had a sensitivity and specificity of 85.7% and 57.1%, respectively, in identifying gastric tubes. It had a sensitivity and specificity of 66.7% and 87.5%, respectively, in identifying post-pyloric tubes. No adverse events were reported. This study showed that POCUS had moderate sensitivity and specificity and was, overall, safe. Further studies can assess the level of training needed for improvement in accuracy, and larger studies can help support the findings of this data that POCUS is a safe and accurate alternative to radiographs for enteral feeding tube placement confirmation.
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| format | Article |
| id | doaj-art-0000466ee74244e28fb592338fefd6de |
| institution | DOAJ |
| issn | 2369-8543 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj-art-0000466ee74244e28fb592338fefd6de2025-08-20T03:10:18ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432025-04-01100110.24908/pocusj.v10i01.17785The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care UnitAlonso Marron0Michael Wolfhttps://orcid.org/0000-0002-1681-0353Marla LevineJeremy Boydhttps://orcid.org/0000-0002-2984-4624Marta Hernanz-SchulmanVanderbilt University Medical Center Division of Pediatric Critical Care The aim of this study was to investigate the role of point of care ultrasound (POCUS) as an alternative imaging modality to confirm the location of gastric and post-pyloric feeding tubes in patients admitted to the pediatric intensive care unit (PICU). This was a prospective descriptive study performed at a tertiary care children’s hospital. Patients from birth to 17 years of age in whom the medical team placed a temporary enteral feeding tube were eligible for enrollment. The study physician, who was blinded to the radiographic findings, performed a POCUS study of the abdomen. An abdominal radiograph was obtained to confirm the placement in all patients. A total of 13 patients were enrolled, and 14 abdominal POCUS exams were completed. POCUS accurately identified the location of the enteral feeding tube in 10 of the 14 cases. POCUS had a sensitivity and specificity of 85.7% and 57.1%, respectively, in identifying gastric tubes. It had a sensitivity and specificity of 66.7% and 87.5%, respectively, in identifying post-pyloric tubes. No adverse events were reported. This study showed that POCUS had moderate sensitivity and specificity and was, overall, safe. Further studies can assess the level of training needed for improvement in accuracy, and larger studies can help support the findings of this data that POCUS is a safe and accurate alternative to radiographs for enteral feeding tube placement confirmation. https://ojs.library.queensu.ca/index.php/pocus/article/view/17785PediatricPICUPoint of care ultrasound (POCUS)Abdominal point-of-care ultrasoundenteral feeding tubes |
| spellingShingle | Alonso Marron Michael Wolf Marla Levine Jeremy Boyd Marta Hernanz-Schulman The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit POCUS Journal Pediatric PICU Point of care ultrasound (POCUS) Abdominal point-of-care ultrasound enteral feeding tubes |
| title | The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit |
| title_full | The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit |
| title_fullStr | The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit |
| title_full_unstemmed | The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit |
| title_short | The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit |
| title_sort | utilization of point of care ultrasound pocus for the confirmation of gastric and post pyloric feeding tube placement in a pediatric intensive care unit |
| topic | Pediatric PICU Point of care ultrasound (POCUS) Abdominal point-of-care ultrasound enteral feeding tubes |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/17785 |
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