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Formerly Journal of Turgut Ozal Medical Center

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear Annals of Medical Research Readers

As of the end of March 2021, I have started to work as Chief Editor at Annals of Medical Research. Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 28 years.  Our Journal, which is online as an open access journal with monthly free access, is being scanned in many national and international indexes (ULAKBIM TR Dizin, Turkish Medline, EBSCO, Google Scholar, etc.). I would like to thank the Editors before me who contributed to this level. Our primary goal is to ensure the maintenance of this good state of the journal and to ensure that it is scanned in prestigious international indexes (Pubmed Central, SCI-Expended, etc.). In order to achieve these goals, it depends on the original research articles that can be cited and the articles published in our Journal to be cited sufficiently in other international journals. The contributions of our readers, reviewers and authors in achieving this goal are of great importance.

I hope to announce the news that we have reached our goals as soon as possible.

MD. Prof. Nevzat Erdil

Editor-in-Chief

Annals of Medical Research

 

Comparision of ultrasonography with direct radiography and aspiration for the confirmation of nasogastric tube placement among intubated patients in the emergency servise: A prospective,single-blind,cross-sectional study (p.542-6)

Comparision of ultrasonography with direct radiography and aspiration for the confirmation of nasogastric tube placement among intubated patients in the emergency servise: A prospective,single-blind,cross-sectional study (p.542-6)

Duygu Ucel Cayhan1, Mehmet Akif Ustuner2, Ismet Parlak3
1Deparmant of Emergency Medicine, University of Health Sciences Gulhane Training and Research Hospital, Ankara,Turkey
2Deparmant of Gastroenterolojıc Surgery, University of Health Sciences Gulhane Training and Research Hospital, Ankara,Turkey
3Deparmant of Emergency Medicine, Faculty of Medicine, Aksaray University, Aksaray, Turkey
Copyright@Author(s) - Available online at www.annalsmedres.org
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Abstract

Aim: The position of the nasogastric tube should be confirmed after its initial insertion and prior to repeated use. The present study makes a prospective comparison of the efficacy of ultrasonography, aspiration and direct radiography in confirming nasogastric tube placement among intubated patients.
Materials and Methods: This prospective, single-blind and cross-sectional study included 45 (16 female and 29 male) patients over the age of 18 who were intubated and had a nasogastric tube inserted at the Emergency Service between 01.03.2017 and 30.08.2017. For the confirmation of NGT placement, both gastric aspiration and gastric auscultation were performed by the primary physician who initially inserted the NGT. The abdominal USG was performed by an emergency physician who had performed the procedure 20 times previously.
Results: The ultrasound had a sensitivity of 92%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 50%. The direct radiography had a sensitivity of 57%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 14%. The aspiration method, in turn, had a sensitivity of 78.57%, a specificity of 66.67%, a positive predictive value of 97.06% and a negative predictive value of 18.18% as a means of NGT placement confirmation.
Conclusion: Bedside ultrasonography is more effective than the aspiration method and direct radiography for the placement confirmation of NGT inserted into intubated patients in the emergency service.

Keywords: Aspiration method; direct radiography; emergency service; intubated patients; Nasogastric tube; ultrasound 

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doi: 10.5455/annalsmedres.2020.06.639   

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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