{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:38:08Z","timestamp":1792651088403,"version":"4.5.0"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"0","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>ABSTRACT  Objective: to investigate evidence in the literature on procedures for measuring gastric tube insertion in newborns and verifying its placement, using alternative procedures to radiological examination.  Method: an integrative review of the literature carried out in the Cochrane, LILACS, CINAHL, EMBASE, MEDLINE and Scopus databases using the descriptors \u201cIntubation, gastrointestinal\u201d and \u201cnewborns\u201d in original articles.  Results: seventeen publications were included and categorized as \u201cmeasuring method\u201d or \u201ctechnique for verifying placement\u201d. Regarding measuring methods, the measurements of two morphological distances and the application of two formulas, one based on weight and another based on height, were found. Regarding the techniques for assessing placement, the following were found: electromagnetic tracing, diaphragm electrical activity, CO2 detection, indigo carmine solution, epigastrium auscultation, gastric secretion aspiration, color inspection, and evaluation of pH, enzymes and bilirubin.  Conclusion: the measuring method using nose to earlobe to a point midway between the xiphoid process and the umbilicus measurement presents the best evidence. Equations based on weight and height need to be experimentally tested. The return of secretion into the tube aspiration, color assessment and secretion pH are reliable indicators to identify gastric tube placement, and are the currently indicated techniques.<\/jats:p>","DOI":"10.1590\/1518-8345.1841.2908","type":"journal-article","created":{"date-parts":[[2017,7,9]],"date-time":"2017-07-09T15:49:08Z","timestamp":1499615348000},"source":"Crossref","is-referenced-by-count":17,"title":["Procedures for measuring and verifying gastric tube placement in newborns: an integrative review"],"prefix":"10.1590","volume":"25","author":[{"given":"Fl\u00e1via de Souza Barbosa","family":"Dias","sequence":"first","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suellen Cristina Dias","family":"Emidio","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Helena Baena de Moraes","family":"Lopes","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonieta Keiko Kakuda","family":"Shimo","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Raquel Medeiros","family":"Beck","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elenice Valentim","family":"Carmona","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1053\/j.nainr.2014.06.011","article-title":"Gastric tube use and care in the NICU","volume":"14","author":"Wallace T","year":"2014","journal-title":"Newborn Infant Nurs Rev"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4037\/ccn2014606","article-title":"Nasogastric tube placement and verification in children: review of the current literature","volume":"34","author":"Irving SY","year":"2014","journal-title":"Crit Care Nurse"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1097\/ANC.0b013e3181c1fc2f","article-title":"Nasogastric tube position and intragastric air collection in a neonatal intensive care population","volume":"9","author":"de Boer JC","year":"2009","journal-title":"Adv Neonatal Care"},{"issue":"5","key":"ref4","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1097\/MPG.0b013e31818c52a8","article-title":"Malposition of feeding tubes in neonates: is it an issue","volume":"48","author":"Quandt D","year":"2009","journal-title":"J J Pediatr Gastroenterol Nutr"},{"issue":"1","key":"ref5","first-page":"17","article-title":"Nasogastric tube placement verification in pediatric and neonatal patients","volume":"35","author":"Farrington M","year":"2009","journal-title":"Pediatr Nurs"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/j.1365-2648.2005.03621.x","article-title":"The integrative review: updated methodology","volume":"52","author":"Whittemore R","year":"2005","journal-title":"J Adv Nurs"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1590\/s1679-45082010rw1134","article-title":"Integrative review: what is it? 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Ga\u00facha Enferm"},{"issue":"2","key":"ref9","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1590\/S0080-6234201400002000020","article-title":"Integrative review: concepts and methods used in nursing","volume":"48","author":"Soares CB","year":"2014","journal-title":"Rev Esc Enferm USP."},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.ijsu.2010.02.007","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"8","author":"Moher D","year":"2010","journal-title":"Int J Surg"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1590\/S0103-21002006000200001","article-title":"N\u00edveis de evid\u00eancia","volume":"19","author":"Galv\u00e3o CM","year":"2006","journal-title":"Acta Paul Enferm"},{"issue":"1","key":"ref12","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/00005721-198701000-00009","article-title":"Gavage tube 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