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Type: Artigo
Title: Use of pH reagent strips to verify gastric tube placement in newborns
Author: Dias, Flávia de Souza Barbosa
Almeida, Beatriz Pera de
Alvares, Beatriz Regina
Jales, Rodrigo Menezes
Caldas, Jamil Pedro de Siqueira
Carmona, Elenice Valentim
Abstract: To confirm the accuracy of the pH test in identifying the placement of the gastric tube in newborns. METHOD: double-blind, diagnostic test study conducted with 162 newborns admitted to a neonatal intensive care unit and an intermediate care unit. The subjects were submitted to enteral intubation, followed by pH test with reagent strip, which was analyzed by a nurse, and radiological examination, analyzed by radiologist. Blinding was kept among professionals regarding test results. Diagnostic accuracy analysis of the pH test in relation to the radiological exam was performed. RESULTS: the sample consisted of 56.17% boys, with average birth weight of 1,886.79g (SD 743,41), 32.92 (SD 2.99) weeks of gestational age and the mean pH was 3.36 (SD 1.27). Considering the cutoff point of pH≤5.5, the sensitivity was 96.25%, specificity 50%, positive predictive value 99.35% and negative predictive value 14.29%. CONCLUSION: The pH test performed with reagent strips is sensitive to identify the correct placement of the gastric tube, so it can be used as an adjuvant technique in the evaluation of the gastric tube placement. In interpreting the results, pH ≤5.5 points to correct placement and values > 5.5 require radiological confirmation
Subject: Suco gástrico
Country: Brasil
Editor: USP/Escola de Enfermagem de Ribeirão Preto
Rights: Aberto
Identifier DOI: 10.1590/1518-8345.3150.3227
Date Issue: 2019
Appears in Collections:FCM - Artigos e Outros Documentos
CAISM - Artigos e Outros Documentos
FENF - Artigos e Outros Documentos

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