CAREY P. PAGE, M.D.
To the editor: In the article "Enteral Hyperalimentation: An Alternative to Central Venous Hyperalimentation" in the January issue (1), I take mild exception to the suggestion that "injection of air through the catheter while listening over the left upper quadrant with a stethoscope" is adequate to verify the proper position of a nasogastric catheter. We routinely confirm the intragastric position of the feeding catheter roentgenographically, just as we confirm the position of a central venous catheter roentgenographically for total parenteral nutrition. This routine has been practiced since 1972 and has on several occasions avoided unnecessary complications by identifying catheters that
PAGE CP. Verifying Intragastric Location of Feeding Catheter. Ann Intern Med. ;90:723. doi: 10.7326/0003-4819-90-4-723_1
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Published: Ann Intern Med. 1979;90(4):723.
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