Ultrasound for Confirmation of Gastric Tube Placement in Critically Ill Patients Under Invasive Mechanical Ventilation, a Randomization Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ultrasound for Confirmation of Gastric Tube Placement in Critically Ill Patients Under Invasive Mechanical Ventilation
- Sponsor
- National Taiwan University Hospital
- Enrollment
- 62
- Locations
- 1
- Primary Endpoint
- correct rate as comparing with the chest radiography in each group
- Status
- Terminated
- Last Updated
- last year
Overview
Brief Summary
Introduction: Data using ultrasonography to confirm correct position of the gastric tube is heterogeneous in approach sites, combination exams, and methodology.
Aim: Find the best strategy to confirm gastric tube placement to avoid immediate complication.
Method: A randomized controlled trial was initiated to compare ultrasonography and standard routine method, using non-inferiority design. The study will be conducted in one medical ICU with 59 beds at a medical center. The primary outcome is the correct rate as comparing with the chest radiography in each group. Total 190 patients is needed with estimated 10% drop-out rate.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinical indication of nasogastric tube placement
- •Age than 20 years old.
- •Exclusion criteria:
- •Facial trauma or head-base fractures
- •Esophageal or gastric resection
- •Esophageal strictures or alkaline injury
- •Open wound in the area to prevent ultrasonography
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
correct rate as comparing with the chest radiography in each group
Time Frame: 1 day
Secondary Outcomes
- procedure time, tube placement confirmation time other than chest radiography method, and additional auscultation method in US group(1 day)