The NICU where I work still uses auscultation and aspiration knowing that one does not always get an aspirate. I recently did school assignment (please someone tell me this BSN is worth the torment!) that addressed the evidence on how to verify enteral feeding tube placement. In 2009, the American Society for Parenteral and Enteral Nutrition (ASPEN) issued guidelines that state that all enteral feeding tubes should be verified by xray, all other methods have been proven to be unreliable (aspiration, auscultation, pH testing). Probably in response to these guidelines, the American Society of Critical-Care Nurses issued a practice alert recommending x-ray verification for all blindly inserted feeding tubes.
The AACN did not specifically address pediatric/neonatal patients. A.S.P.E.N. stated that x-ray is the only reliable way to verify placement in the pediatric and neonatal population but that due to the risk of exposure to x-ray, they should be used "judiciously" in verifying enteral tube placement in this special population.
American Society of Critical-Care Nurses. Verification of feeding tube placement (blindly inserted). Aliso Viejo, CA: 2009. AACN practice alert: http://www.aacn.org/WD/Practice/Docs...nt_05-2005.pdf
Bankhead, R., Boullata, J., Brantley, S., Corkins, M., Guenter, P., Krenitsky, J., Lyman, B., Matheney, A., Mueller, C., Robbins, S., Wessel, J. & the A.S.P.E.N. Board of Directors (2009). A.S.P.E.N. Enteral nutrition practice recommendation. Journal of Parenteral and Enteral Nutrition,