To the Editor: Thomas et al. (Oct. 24 issue)1 touch on a controversialissue when they state that "radiographic confirmation of tubeplacement should be mandatory before material is lavaged throughnasogastric tubes." There are a great many nasogastric and feedingtubes placed, and replaced, in this country. Chest radiography,usually performed at the bedside, is relatively expensive andmay not be available in some institutions.
The word "mandatory" should be used reluctantly when appliedto the practice of medicine, which remains an art as well asa science. I certainly agree that radiographs should be obtainedin most patients . . . [Full Text of this Article]
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