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Bedside ultrasound for assessment of gastric and enteral tube placement and gastric residual volume in critically ill patients
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Keywords

Critical care
Nursing
Ultrasound
Enteral nutrition
Point-of-care testing

How to Cite

Bedside ultrasound for assessment of gastric and enteral tube placement and gastric residual volume in critically ill patients. (2026). Electronic Journal Collection Health, 26(2), e22702. https://doi.org/10.25248/reas.e22702.2026

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Abstract

Objective: To identify the applicability of bedside ultrasound performed by nurses for assessing enteral and gastric tube placement and gastric residual volume in critically ill patients. Methods: An integrative review conducted in September 2023 using the Virtual Health Library and PubMed databases with the descriptors ultrasound, nurses, ultrasonography, and nurses. Results: The sample consisted of six articles, published between 2016 and 2022. The findings suggest that ultrasound can be applied at the bedside by nurses in critically ill patients to measure gastric residual volume, this being a scientifically based method to guide enteral nutrition, reducing interruptions in the diet. Another use of ultrasound by nurses is to confirm the position of the nasogastric tube (NGT) and nasoenteric tube (SNE), providing agility in the release of the diet and less exposure to x-rays. Final considerations: Bedside ultrasound performed by nurses is an effective and safe tool in the care of critically ill patients, supporting enteral nutrition and minimizing risks and delays in care.

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References

ADRISH M, et al. The effect of point of care ultrasonography on imaging studies in the medical ICU: a comparative study. Chest, 2015; 147(1): e23 e24

ADHIKARI S, et al. Impact of point-of-care ultrasound on quality of care in clinical practice. Reports In Medical Imaging, 2014;81.

ARNOLD MJ, et al. Point-of-care ultrasonography (POCUS). American Family Physician, 2020; 101(5): 275-285.

BROTFAIN E, et al. Nurse-performed ultrasound assessment of gastric residual volume and enteral nasogastric tube placement in the general intensive care unit. Intensive And Critical Care Nursing, 2022;69:103183.

BRUNHOEBER LA, et al. Nurse Practitioner Use of Point-of-Care Ultrasound in Critical Care. The Journal For Nurse Practitioners, 2018;14(5):383-388.

CAO L, et al. Application of bedside ultrasound in measuring gastric residual volume in neurosurgical critical patients. Zhonghua Yi Xue Za Zhi, 2017;97(9):675-678.

CHAPELA SP, et al. Nasoenteric tube doppler guided insertion. European Journal Of Clinical Nutrition, 2021;76(6):907-909.

CORCORAN E, HOPKINS P, FISHER R, et al. Intensive care nurse-led point of care ultrasound in the assessment and management of the critically ill COVID-19 patient: a single centre case series. Nurs Crit Care, 2022; 10.1111/nicc.12871

FERRABOLI SF, BEGHETTO MG. Bedside ultrasonography for the confirmation of nasogastric tube placement. Rev Gaúcha Enferm, 2022;43(esp):20220211.

FRALEIGH CDM, DUFF E. Point-of-care ultrasound: an emerging clinical tool to enhance physical assessment. The Nurse Practitioner, 2022; 47(8): 14-20.

HAMADA SR, et al. Ultrasound assessment of gastric volume in critically ill patients. Intensive Care Medicine, 2014;40(7):965-972.

KNUTSEN K, et al. Utilisation of point-of-care ultrasound by critical care nurses: a scoping review. BMJ Open, 2025; 15(6): e100911.

LI X, et al. Nurse-performed ultrasound-guided vascular access in critically ill patients: a prospective study. J Crit Care, 2021; 63: 143-150

MAK MY, TAM G. Ultrasonography for nasogastric tube placement verification. British Journal Of Community Nursing, 2020;25(7):328-334.

MCMULLEN CD, et al. Nasogastric tube placement under sonographic observation. Australian Critical Care, 2022;35(2):181-185.

MENDES KDS, et al. Revisão integrativa: método de pesquisa para a incorporação de evidências. Texto & Contexto – Enfermagem, 2008;17(4):758-764.

MONTEJO JC, et al. Gastric residual volume during enteral nutrition in ICU patients: the regane study. Intensive Care Medicine, 2010;36(8):1386-1393.

MUMOLI N, et al. Bedside Abdominal Ultrasound in Evaluating Nasogastric Tube Placement. Chest, 2021;159(6):2366-2372.

PERLAS A, et al. Point-of-care gastric ultrasound for aspiration risk assessment: a narrative review. Curr Opin Anaesthesiol, 2017; 30(4): 480-487).

POVEDA VB, et al. Assessing gastric residual volume: a description of nurses’ clinical practice. Rev Esc Enferm USP, 2018;52:e03352.

RÖHM KD, et al. Motility disorders in the ICU: recent therapeutic options and clinical practice. Current Opinion In Clinical Nutrition & Metabolic Care, 2009;12(2):161-167.

SHARMA R, et al. Ultrasound-Assessed Gastric Antral Area Correlates With Aspirated Volume. Nutrition in Clinical Practice, 2023;38(1):134-141.

SIMÕES SAR, et al. Prescribed enteral diet versus infused diet. Revista de Pesquisa Cuidado É Fundamental Online, 2017;9(3):688-695.

SMITH J, et al. Nurse-led bladder ultrasound to reduce catheter-associated urinary tract infections in ICU. Crit Care, 2022; 26(1): 123

SOUSA RZ, et al. Ultrassonografia na prática clínica do enfermeiro. Brazilian Journal Of Development, 2022;8(1):5848-5858.

TSOLAKI V, et al. Ultrasonographic Confirmation of Nasogastric Tube Placement in COVID-19 Era. Journal Of Personalized Medicine, 2022;12(3):337.

TOTENHOFER R, et al. Point of care ultrasound use by Registered Nurses and Nurse Practitioners. Collegian, 2021;28(4):456-463.

VAN DE PUTTE P, PERLAS A. Ultrasound assessment of gastric content and volume. British Journal of Anaesthesia, 2014; 113(1): 12-22.

ZHANG Y, et al. Bladder ultrasound by nurses for assessing urinary retention in critical care: a prospective study. J Clin Nurs, 2023; 32(11-12): 2245-2254.

WU X, et al. Point-of-care ultrasound knowledge, attitudes and practices among ICU healthcare providers. PLoS One, 2023; 18(4): e0281200.