{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:37:26Z","timestamp":1789580246471,"version":"build-2803163510"},"reference-count":57,"publisher":"AACN Publishing","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>A US Food and Drug Administration safety letter warned about the risk for pneumothoraces during feeding tube insertion despite the use of electromagnetic placement devices that provide real-time visualization of feeding tube position.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To systematically assess pulmonary placement and pneumothoraces in CORTRAK-assisted feeding tube insertions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>CINAHL, MEDLINE, and Cochrane databases were searched for studies of CORTRAK-assisted feeding tube insertion. Thirty-two studies documenting pulmonary placement and\/or complications of feeding tube insertion were found.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Operators recognized pulmonary placement on insertion tracings during 202 CORTRAK-assisted feeding tube insertion procedures, resulting in the immediate withdrawal of 199 feeding tubes. One pneumothorax was identified later by radiography. Seven pulmonary placements were not recognized by CORTRAK operators at the time of feeding tube insertion, resulting in 2 pneumothoraces. The incidence of pneumothorax for CORTRAK-assisted feeding tube insertions was 0.02% (3 of 17039). Of the feeding tubes inserted into the pulmonary system \u2013 either found during or after the procedure \u22121.4% (3 of 209) resulted in pneumothoraces (as opposed to the 19% to 28% incidence of pneumothorax for blind feeding tube insertions. Operators recognizing pulmonary placement on CORTRAK insertion tracings may have prevented 97% (202 of 209) of feeding tubes from being inserted farther into the respiratory tract.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Feeding tube insertion with an electromagnetic placement device is advantageous over blind feeding tube insertion because the operator can recognize pulmonary placement early and withdraw the feeding tube, thus decreasing the risk of pulmonary complications.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ajcc2020247","type":"journal-article","created":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T22:39:05Z","timestamp":1578695945000},"page":"22-32","source":"Crossref","is-referenced-by-count":16,"title":["Pneumothoraces Prevented With Use of Electromagnetic Device to Place Feeding Tubes"],"prefix":"10.4037","volume":"29","author":[{"given":"Annette M.","family":"Bourgault","sequence":"first","affiliation":[{"name":"Annette M. Bourgault is an assistant professor, University of Central Florida College of Nursing, Orlando, Florida, and a nurse scientist, Orlando Health, Orlando, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Powers","sequence":"additional","affiliation":[{"name":"Jan Powers is director of nursing research and professional practice, Parkview Health System, Fort Wayne, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lillian","family":"Aguirre","sequence":"additional","affiliation":[{"name":"Lillian Aguirre is clinical nurse specialist trauma\/burn critical care, Orlando Regional Medical Center, Orlando Health."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"key":"2022042504130016200_b1-0290022","unstructured":"US Food and Drug Administration. Feeding Tube Placement Systems: Letter to Health Care Providers. https:\/\/www.fda.gov\/medicaldevices\/safety\/letterstohealthcareproviders\/ucm591838.htm. Published January 11, 2018. Updated January 16, 2018. Accessed January 21, 2019."},{"key":"2022042504130016200_b2-0290022"},{"key":"2022042504130016200_b3-0290022","unstructured":"Corpak MedSystems Inc, Royal College of Nursing. Cortrak Trainee Booklet: Selection, Insertion and Ongoing Safe Use of Nasogastric (NG) Tubes in Adults With the CORTRAK Enteral Access System (EAS). http:\/\/cortrakuktraining.com\/downloads\/CORT1401%20trainee%20brochure%20web.pdf. Accessed January 21, 2019."},{"key":"2022042504130016200_b4-0290022","volume-title":"CORTRAK 2 Enteral Access System Operator\u2019s Manual","author":"Avanos","year":"2011"},{"key":"2022042504130016200_b5-0290022","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1002\/jpen.1015","article-title":"Feeding tube insertion and placement confirmation using electromagnetic guidance: a team review","volume":"42","author":"McCutcheon","year":"2018","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"15","key":"2022042504130016200_b6-0290022","doi-asserted-by":"crossref","first-page":"876","DOI":"10.12968\/bjon.2017.26.15.876","article-title":"Cortrak tube placement part 2: guidance to avoid misplacement is inadequate","volume":"26","author":"Taylor","year":"2017","journal-title":"Br J Nurs"},{"key":"2022042504130016200_b7-0290022","doi-asserted-by":"crossref","first-page":"453","DOI":"10.4037\/ajcc2011221","article-title":"Use of a noninvasive electromagnetic device to place 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In: Feeding tube: small-bore feeding tube insertion, care, and removal. Elsevier, Inc; 2019. https:\/\/www.elsevier.com\/solutions\/performance-manager. Accessed October 20, 2019."},{"issue":"5","key":"2022042504130016200_b54-0290022","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1177\/0148607111413898","article-title":"Pulmonary complications of 9931 narrow-bore nasoenteric tubes during blind placement: a critical review","volume":"35","author":"Sparks","year":"2011","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"4","key":"2022042504130016200_b55-0290022","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1177\/0148607107031004269","article-title":"Clinical costs of feeding tube placement","volume":"31","author":"de Aguilar-Nascimento","year":"2007","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"5","key":"2022042504130016200_b56-0290022","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1177\/0148607106030005440","article-title":"Enhancing patient safety during feeding-tube insertion: a review of more than 2,000 insertions","volume":"30","author":"Sorokin","year":"2006","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"4","key":"2022042504130016200_b57-0290022","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1007\/s001340050348","article-title":"Radiographic detection of intrabronchial malpositions of nasogastric tubes and subsequent complications in intensive care unit patients","volume":"23","author":"Bankier","year":"1997","journal-title":"Intensive Care Med"}],"container-title":["American Journal of Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aacnjournals.org\/ajcconline\/article-pdf\/29\/1\/22\/123040\/22.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/aacnjournals.org\/ajcconline\/article-pdf\/29\/1\/22\/123040\/22.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T04:13:36Z","timestamp":1650860016000},"score":1,"resource":{"primary":{"URL":"https:\/\/aacnjournals.org\/ajcconline\/article\/29\/1\/22\/30624\/Pneumothoraces-Prevented-With-Use-of"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,1]]},"references-count":57,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1,1]]}},"URL":"https:\/\/doi.org\/10.4037\/ajcc2020247","relation":{},"ISSN":["1062-3264","1937-710X"],"issn-type":[{"value":"1062-3264","type":"print"},{"value":"1937-710X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,1]]}}}