A biologically transparent illumination device is more useful in children for detecting the position of the nasogastric tube in the stomach.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2024-10-26 DOI:10.1007/s00383-024-05854-2

Ryosuke Satake, Hiroshi Yamakawa, Nozomi Aoki, Rina Tanaka, Sakiko Yoshimoto, Tokiko Okunobo, Hiroki Nakamura, Takashi Doi

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引用次数: 0

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.

查看原文本刊更多论文

在儿童中，生物透明照明装置更有助于检测鼻胃管在胃中的位置。

目的：该研究旨在评估生物透明照明（BTI）装置在确认儿童鼻胃管（NG）位置是否正确方面的功效，以替代会对患者造成辐射的 X 光：在这项前瞻性观察研究中，对 106 名在全身麻醉后接受鼻胃管插入手术的儿童患者（0-16 岁）进行了评估。使用 BTI 导管从 NG 管发出生物渗透红光，然后在颈部、胸部和上腹部进行肉眼确认。X光检查确认了所有患者的 NG 管置入情况。伦理委员会批准了这项研究：患者平均年龄为 3.8 岁，男女比例为 72:34。106 名患者中有 105 名成功在上腹部检测到 BTI，其中一名 9 岁患者的 BTI 不清晰。X 光检查证实所有患者的 NG 管均置入胃部，因此 BTI 敏感度为 99%。NG 管的平均插入时间为 38 秒，平均腹部厚度为 9.8 毫米：事实证明，BTI 装置是一种安全有效的儿童 NG 管置入方法，它提供了一种无辐射的替代方法，当在上腹部检测到 BTI 时，置管成功率达 100%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor