To compare three methods of predicting the gastric tube insertion length in children 1 month to 17 years of age: age-related, height-based (ARHB); nose-ear-xiphoid (NEX); and nose-ear-mid-umbilicus (NEMU). Randomized controlled trial. Children were ...

Nasogastric tube (NGT): Thin, soft tube passed through a child’s nose, down the back of the throat, through the oesophagus and into the stomach. NEMU method: NGT tube placement measurement taken from nose to ear lobe to the point midway between the xiphisternum and the …

etermine the most accurate method of determining GT insertion length. This study aimed to determine the most accurate method to determine GT insertion length among 3. methods: the NEMU method, a weight-based method, and the ARHB …

Literature supports the NEMU or ARHB methods for determining appropriate depth for NGT/OGT insertion in the pediatric and neonatal populations. Accurate confirmation of NGT/OGT placement is critical to avoid serious and sometimes fatal complications that result from tube malpositions.

the NEX or NEMU methods to ensure cor-rect tube placement. 6. Ensure the nostrils are clean; clean with sterile water and soft gauze if necessary. 7. Lubricate the end of the NG tube with warm, sterile water. Do not use lubricating jelly as this can affect the pH of the aspirate. 8. Gently pass the NG tube into the nostril

Jul 25, 2022 · Nose-earlobe-midline of the umbilicus (NEMU). Although NEX measurement (Fig 3) is commonly used in practice settings, NEMU measurement (Fig 4) has superior accuracy for stomach placement – namely 97%, compared with 59% for NEX (Irving et al, 2018).

Measure nose-ear-mid-umbilicus (NEMU) every time you place an NGT—from the tip of the patient’s nose to the earlobe and from the earlobe to the point midway between the xiphoid process and umbilicus.

Conclusions: Direct distance nose-ear-xiphoid should no longer be used as an nasogastric/orogastric (NG/OG) tube insertion-length predictor in neonates. Either NEMU for NG/OG tubes or the new ARHB equation for NG tubes should be used. JOGNN, 40, 412-421; 2011. DOI: 10.1111/j.1552-6909.2011.01255.x.

We also agree that further research is needed for NGT placement verification in this population as our study showed that 61% of the pediatric patients requiring an NGT in our prevalence study were in a neonatal intensive care unit (NICU). 2 However, until that research is completed and publishes, the use of the nose-ear-mid-umbilicus (NEMU ...

Objective: The objective was to verify whether there is a difference in the proportion of correctly placed nasogastric tubes when using the nose, earlobe, mid-umbilicus (NEMU) method and the weight-based equation for measuring the insertion length.