Sonographic confirmation of the correct placement of a nasoenteral tube in a woman with hyperemesis gravidarum: case report.
Hyperemesis gravidarum is a serious systemic disorder of pregnant women characterized by intractable vomiting resulting in metabolic, biochemical, and hematologic changes. Enteral nutrition has been used successfully and has a lower complication rate than parenteral nutrition. Tube feeding requires location of the feeding tube tip before the infusion of nutritional substance is started. We report a case of assisted feeding tube tip location using real time sonography in a pregnant women treated for hyperemesis gravidarum. Sonographic examination may be used as an alternative to x-ray for the confirmation of feeding tube location in pregnant women and thus eliminate exposure of the fetus to ionizing radiation.
Department of Obstetrics and Gynecology, Winnie Palmer Hospital, Orlando, FL.
Ty K
TK
Swartzlander
S J
SJ
Carlan
Greg
G
Locksmith
Luke
L
Elms
D000328:Adult; D004750:Enteral Nutrition / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000000981:diagnostic imaging / Q000628:therapy*; D007441:Intubation, Gastrointestinal / Q000295:instrumentation / Q000379:methods*; D011247:Pregnancy; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional
enteral feeding; foreign bodies; gastrointestinal tract; hyperemesis gravidarum; tube location; ultrasonography