{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T09:34:29Z","timestamp":1776159269994,"version":"3.50.1"},"reference-count":10,"publisher":"AACN Publishing","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,11,1]]},"abstract":"\n Background<\/jats:title>\n Clinicians are unsure if radiography is needed to confirm correct positioning of feeding tubes inserted with assistance from an electromagnetic system.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To compare radiographic reports of feeding tube placement with images generated by an electromagnetic feeding tube placement device.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The medical records of 200 consecutive patients who had feeding tubes inserted with assistance from an electromagnetic feeding tube placement device were reviewed retrospectively. Radiographic reports of tube site were compared with images generated by the device.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Radiographic evidence of tube sites was available in 188 cases: 184 tubes were located in portions of the gastrointestinal tract. Ninety of the 188 tubes were situated in the optimal site (distal duodenum or jejunum) radiographically. Images generated by the electromagnetic device were available in 176 cases; of these, 52 tubes appeared to end in the expected left lower quadrant. Tubes shown on radiographs to be in other sites also occasionally appeared to end in the left lower quadrant. Nurses using the device did not recognize 4 of the 188 tubes (2.1%) that were inadvertently placed in the lung. No consistent pattern of quadrant distribution was found for tubes positioned in the stomach or proximal duodenum.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Images generated by the electromagnetic tube placement device provided inconsistent results regarding tube location. A small percentage of seriously malpositioned tubes were not detected by using the electromagnetic device. These findings do not support eliminating radiographs to confirm correct tube placement following use of an electromagnetic tube placement device.<\/jats:p>\n <\/jats:sec>","DOI":"10.4037\/ajcc2015493","type":"journal-article","created":{"date-parts":[[2015,11,1]],"date-time":"2015-11-01T07:07:21Z","timestamp":1446361641000},"page":"525-530","source":"Crossref","is-referenced-by-count":32,"title":["Verifying Placement of Small-Bore Feeding Tubes: Electromagnetic Device Images Versus Abdominal Radiographs"],"prefix":"10.4037","volume":"24","author":[{"given":"Vera","family":"Bryant","sequence":"first","affiliation":[{"name":"Vera Bryant is an acute care nurse practitioner in the neuroscience department at Baptist Hospital of Miami, Miami, Florida. Jean Phang is a quality assurance nurse at Baptist Hospital of Miami. Kevin Abrams is medical director of the radiology department at Baptist Hospital of Miami."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"Phang","sequence":"first","affiliation":[{"name":"Vera Bryant is an acute care nurse practitioner in the neuroscience department at Baptist Hospital of Miami, Miami, Florida. Jean Phang is a quality assurance nurse at Baptist Hospital of Miami. Kevin Abrams is medical director of the radiology department at Baptist Hospital of Miami."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Abrams","sequence":"first","affiliation":[{"name":"Vera Bryant is an acute care nurse practitioner in the neuroscience department at Baptist Hospital of Miami, Miami, Florida. Jean Phang is a quality assurance nurse at Baptist Hospital of Miami. Kevin Abrams is medical director of the radiology department at Baptist Hospital of Miami."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2471","reference":[{"issue":"2","key":"2020032806170408200_b1-0240525","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1097\/SLA.0b013e318208f550","article-title":"A team-based protocol and electromagnetic technology eliminate feeding tube placement complications","volume":"253","author":"Koopmann","year":"2011","journal-title":"Ann Surg"},{"key":"2020032806170408200_b2-0240525","unstructured":"Corpak Medsystems Inc.\n Cortrak 2 Enteral Access System. http:\/\/www.corpakmedsystems.com\/cortrak.html. Accessed July 20, 2015."},{"key":"2020032806170408200_b3-0240525","volume-title":"Operating and Troubleshooting Tips for the CORTRAK 2 Enteral Access System"},{"key":"2020032806170408200_b4-0240525","volume-title":">CORTRAK 2 Enteral Access System Operator\u2019s Manual with Service Guide"},{"key":"2020032806170408200_b5-0240525","unstructured":"US Food and Drug Administration (FDA). Manufacturer and User Facility Device Experience Database (MAUDE); Medical Devices. http:\/\/www.fda.gov\/MedicalDevices\/DeviceRegulationandGuidance\/PostmarketRequirements\/ReportingAdverseEvents\/ucm127891.htm. Updated March 31, 2013. Accessed April 5, 2014."},{"issue":"2","key":"2020032806170408200_b6-0240525","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1097\/CCM.0b013e3181959836","article-title":"Bedside postpyloric feeding tube placement: a pilot series to validate this novel technique","volume":"37","author":"Gatt","year":"2009","journal-title":"Crit Care Med"},{"issue":"1","key":"2020032806170408200_b7-0240525","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1177\/0148607110370976","article-title":"Methods and complications of nasoenteral intubation","volume":"35","author":"Halloran","year":"2011","journal-title":"J Parenter Enter Nutr"},{"key":"2020032806170408200_b8-0240525","unstructured":"Mosby\u2019s Nursing Skills. Small-Bore Feeding Tube Insertion: Electromagnetic Guidance System (Cortrak 2 Enteral Access System). http:\/\/mns.elsevierperformancemanager.com\/SkillsAICCPlayer. Accessed June 2, 2014."},{"key":"2020032806170408200_b9-0240525","first-page":"1192","article-title":"Small-bore feeding tube insertion using an electromagnetic guidance system (Cortrak)","volume-title":"AACN Procedure Manual for Critical Care","author":"Gilbert","year":"2011","edition":"6th"},{"issue":"5","key":"2020032806170408200_b10-0240525","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1177\/0148607110386047","article-title":"Small bowel feeding tube placement using an electromagnetic tube placement device: accuracy of tip location","volume":"35","author":"Rivera","year":"2011","journal-title":"J Parenter Enter Nutr"}],"container-title":["American Journal of Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/aacnjournals.org\/ajcconline\/article-pdf\/24\/6\/525\/94865\/525.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/aacnjournals.org\/ajcconline\/article-pdf\/24\/6\/525\/94865\/525.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,28]],"date-time":"2020-03-28T10:17:14Z","timestamp":1585390634000},"score":1,"resource":{"primary":{"URL":"https:\/\/aacnjournals.org\/ajcconline\/article\/24\/6\/525\/4050\/Verifying-Placement-of-SmallBore-Feeding-Tubes"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,1]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,11,1]]}},"URL":"https:\/\/doi.org\/10.4037\/ajcc2015493","relation":{},"ISSN":["1062-3264","1937-710X"],"issn-type":[{"value":"1062-3264","type":"print"},{"value":"1937-710X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,1]]}}}