Clinical Evidence

pH is the Global Standard for Confirming NG/OG Tube Placement

RightSpotpH® Published Studies

Neonatal Intensive Care Journal, Fall 2015
“Validation Study of the RightSpot Infant pH Indicator for Verificaton of Feeding Tube Placement in the Neonatal Intensive Care Unit”

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International Journal of Emergency Medicine, July 2013
“Validation of the RightSpot device for determination of gastric pH during nasogastric tube placement”

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“Safety in nasogastric tube placement through POCT” Lambert C, Hospital Healthcare Europe 2015: 108-109



“Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project” Sharon Y. Irving, PhD, CRNP, FCCM, FAAN1,2; Gina Rempel, MD, FRCPC3,4; Beth Lyman, RN, MSN, CNSC, FASPEN5; Wednesday Marie A. Sevilla, MD, MPH, CNSC6; LaDonna Northington, DNS, RN, BC7; Peggi Guenter, PhD, RN, FAAN, FASPEN8; and The American Society for Parenteral and Enteral Nutrition; Nutrition in Clinical Practice Special Report

“New Opportunities for Verification of Enteral tube Location (NOVEL) project” Novel News Aspen January 2018

“The Story of a Nasogastric Tube Gone Wrong” Deanna Visscher, Patient Advocate

“Confirming Feeding Tube Placement: Old Habits Die Hard” BPA PSRS Patient Saf Advis 2006 Dec;3(4):23-30.

“Many Hospitals Still Employ Non-Evidence Based Practices, Including Auscultation, Creating Serious Patient Safety Risk in Nasogastric Tube Placement and Verification” Beth Lyman MSN, RN, CNSC, FASPEN, Christine Peyton MS, Brian Lane, MD., Neonatology Today/July 2018/Vol. 13/No. 7

“RightSpotpH Indicator Now Available & Saving Lives”

“Spotlight on Deahna Visscher” Patient Safety Movement, April 2018

“Misplaced NG Tubes A Major Patient Safety Risk” Healthcare Risk Management/Vol. 37/No. 4; 44-45

“Nasogastric Tube Placement Verification In Pediatric and Neonatal Patients” Farrington M, Cullen L, Lang S, Stewart S, Pediatric Nursing/January-February 2009/Vol. 35/No. 1
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“Confirming nasogastric tube position in the emergency department: pH testing is reliable” Stock A, Gilbertson H, Babl FE, Pediatr Emerg Care 2008, 24:805-809
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“Hold that x-ray: aspirate pH and auscultation prove enternal tube placement” Neumann MJ, Meyer CT, Dutton JL, Smith R, J Clin Gastroenterol 1995, 20:293-295

“pH and concentrations of pepsin and trypsin in feeding tube aspirates as predictors of tube placement” Metheny NA, Stewart BJ, Smith L, Yan H, Diebold M, Clouse RE, JPEN J Parenter Enteral Nutr 1997, 21:279-285.

“Effectiveness of pH measurements in predicting feeding tube placement: an update” Metheny N, Reed L, Wiersema L, McSweeney M, Wehrle MA, Clark J, Nurs Res 1993, 42:324-331

“Confirmation of Nasogastric Tube (NGT) Placement” Cincinnati Children’s Hospital Medical Center – Best Evidence Statement (BESt), April 2011

“Following the Evidence-Enteral Tube Placement and Verification in Neonates & Young Children” Patricia Clifford, MSN, RNC-NIC; Lauren Heimall, MSN, PCNS-BC; Lori Brittingham, MSN, CNS-ACCNS-N; Katherine Finn Davis, PhD, RN, J Perinat Neonat Nurs Volume 29 Number 2, 149–161
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“Clinical Practice Guidelines: Gastric Tube Placement Verification” ENA 2015
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“A Call to Action: The Development of Enteral Access Safety Teams” Carol Kemper, PhD, RN, CPHQ; LaDonna Northington, DNS, RN, BC; Kerry Wilder, MBA, BSN, RN; and Deahna Visscher, Nutrition in Clinical Practice, Volume 29 Number 3

“Nasogastric Tube Management and Care”

“Resource set Initial placement checks for nasogastric and orogastric tubes”

“Paediatric Intensive Care Unit Nursing Guideline: Nasogastric tubes: insertion, confirmation of correct position and ongoing management”
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