Anterior Superior Iliac Spine to the Tibial Tuberosity Length: An Easier, Accurate, and Faster Method for Predicting Orogastric Tube Length in Neonates-An Observational Study

Overview

Journal Glob Pediatr Health

Specialty Pediatrics

Date 2017 May 12

PMID 28491919

Authors

Samarendra Mahapatro

Satish Mohanty

Sandeep Kumar Panigrahi

Rajib Kumar Ray

Shruti Saraswat

Affiliations

Soon will be listed here.

Abstract

Orogastric tube (OGT) procedures are done in 20% of newborn unit cases. This study was contemplated to work out a formula to predict OGT length in terms of femur length in neonates and its agreement to existing standards. In this observational study, OGT length was estimated using NEMU (nose-ear-mid umbilicus) in 53 consecutive newborns. Their anterior superior iliac spine to tibial tuberosity length (AS-TT) was measured and equated using linear regression analysis in Stata. We further verified the accuracy of the new formula and comparison of time taken by both the methods. Strong positive correlation was seen between OGT and AS-TT ( = .88). OGT length was 10.14 + 0.88 AS-TT, which can be used in neonatal intensive care unit newborns with greater accuracy and with lesser time than the classical method. Strong agreement levels were seen. AS-TT closely relates to the femur length and can be chosen as a guide as it is faster when compared to other methods.

References

Taylor S, Allan K, McWilliam H, Toher D . Nasogastric tube depth: the 'NEX' guideline is incorrect. Br J Nurs. 2014; 23(12):641-4. DOI: 10.12968/bjon.2014.23.12.641. View

Ellett M, Croffie J, Cohen M, Perkins S . Gastric tube placement in young children. Clin Nurs Res. 2005; 14(3):238-52. PMC: 1592291. DOI: 10.1177/1054773805275121. View

Freeman D, Saxton V, Holberton J . A weight-based formula for the estimation of gastric tube insertion length in newborns. Adv Neonatal Care. 2012; 12(3):179-82. DOI: 10.1097/ANC.0b013e318256bb13. View

Jones M, Dobson A, OBrian S . A graphical method for assessing agreement with the mean between multiple observers using continuous measures. Int J Epidemiol. 2011; 40(5):1308-13. DOI: 10.1093/ije/dyr109. View

Beckstrand J, Ellett M, McDaniel A . Predicting internal distance to the stomach for positioning nasogastric and orogastric feeding tubes in children. J Adv Nurs. 2007; 59(3):274-89. DOI: 10.1111/j.1365-2648.2007.04296.x. View

Ellett M, Beckstrand J . Examination of gavage tube placement in children. J Soc Pediatr Nurs. 1999; 4(2):51-60. DOI: 10.1111/j.1744-6155.1999.tb00035.x. View

Agarwal S, Aggarwal R . Retrograde nasal intubation using nasogastric tube saves the day. Anesth Essays Res. 2015; 9(3):449-50. PMC: 4683506. DOI: 10.4103/0259-1162.159769. View

Bland J, Altman D . Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986; 1(8476):307-10. View

Weiner C, Sabbagha R, Vaisrub N, Socol M . Ultrasonic fetal weight prediction: role of head circumference and femur length. Obstet Gynecol. 1985; 65(6):812-7. View

10.

Molena E, Krishnamoorthy A, Praveen C . SVC obstruction and stridor relieved by nasogastric tube insertion. J Surg Case Rep. 2016; 2016(3). PMC: 4771996. DOI: 10.1093/jscr/rjw022. View

11.

Ojo O . The challenges of home enteral tube feeding: a global perspective. Nutrients. 2015; 7(4):2524-38. PMC: 4425159. DOI: 10.3390/nu7042524. View

12.

Giavarina D . Understanding Bland Altman analysis. Biochem Med (Zagreb). 2015; 25(2):141-51. PMC: 4470095. DOI: 10.11613/BM.2015.015. View

13.

Rowat A . Enteral tube feeding for dysphagic stroke patients. Br J Nurs. 2015; 24(3):138, 140, 142-5. DOI: 10.12968/bjon.2015.24.3.138. View

14.

Arms R, DINES D, Tinstman T . Aspiration pneumonia. Chest. 1974; 65(2):136-9. DOI: 10.1378/chest.65.2.136. View

15.

Ballard J, Khoury J, WEDIG K, Wang L, Lipp R . New Ballard Score, expanded to include extremely premature infants. J Pediatr. 1991; 119(3):417-23. DOI: 10.1016/s0022-3476(05)82056-6. View

16.

Ellett M, Cohen M, Perkins S, Smith C, Lane K, Austin J . Predicting the insertion length for gastric tube placement in neonates. J Obstet Gynecol Neonatal Nurs. 2011; 40(4):412-21. PMC: 3140585. DOI: 10.1111/j.1552-6909.2011.01255.x. View

17.

Grist T, Fuller R, Albiez K, Bowie J . Femur length in the US prediction of trisomy 21 and other chromosomal abnormalities. Radiology. 1990; 174(3 Pt 1):837-9. DOI: 10.1148/radiology.174.3.2137635. View

18.

Ojo O . Balloon gastrostomy tubes for long-term feeding in the community. Br J Nurs. 2011; 20(1):34-8. DOI: 10.12968/bjon.2011.20.1.34. View

19.

Bergman N . Neonatal stomach volume and physiology suggest feeding at 1-h intervals. Acta Paediatr. 2013; 102(8):773-7. DOI: 10.1111/apa.12291. View

20.

Ziemer M, Carroll J . Infant gavage reconsidered. Am J Nurs. 1978; 78(9):1543-4. View