Insertion of feeding tube in newborns: With or Without Air Insufflation in the Stomach
- Conditions
- CathetersEnteral NutritionM01.060.703.520
- Registration Number
- RBR-55bpxm4
- Lead Sponsor
- niversidade Estadual de Campinas
- Brief Summary
Introduction: Feeding catheters are commonly used in hospitalized newborns to meet their nutritional needs, which is a vital component of treatment. The transpyloric catheter for enteral nutrition is an essential resource, especially for newborns with suspected or confirmed cases of gastroesophageal reflux and bronchoaspiration. The literature is still scarce about an insertion method that is effective not only in measuring the distance between the oral or nasal cavity and the third/fourth portion of the duodenum, but also in auxiliary methods for its implantation, such as air injection or the use of prokinetic drugs. Proper insertion is essential to reduce the risks related to misplaced catheters in this clientele. Objective: to compare the proportion of catheters correctly located in the transpyloric portion of the digestive tract of newborns, visualized in radiographic examination, considering two insertion methods, with or without air insufflation. Methods: Blind randomized clinical trial, to be carried out in a neonatal hospitalization unit of a tertiary public teaching hospital. The sample size will be 22 subjects, 11 in each group: subjects will be randomized between these groups. In one group, air insufflation will occur when the catheter is in the gastric position, before finalizing its introduction up to the third or fourth duodenal portion. In the other group, no such insufflation will occur. The technique for gastric measurement will be the formula based on weight, while the measurement to reach the duodenal portion will be the glabella-calcaneal measurement. The nurse collaborating in the study will pass the catheter and its final position will be confirmed by a simple X-ray of the abdomen by the attending physician. To compare the proportion between the correct catheter placement groups, the chi-square or Fisher's exact test will be applied. To analyze the relationships between the method used and the characteristics of newborns, Student's t test or Mann-Whitney test will be applied, depending on the distribution of variables. The study will follow the recommendations of Resolution 466/2012 of the National Health Council.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruitment completed
- Sex
- Not specified
- Target Recruitment
- Not specified
newborns; hospitalized; medical indication of transpyloric catheter feeding
congenital malformations in the abdominal wall; omphalocele; gastroschisis; diaphragmatic hernia; bowel obstruction; undergoing surgical intervention in the gastrointestinal system
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method expected outcome 1 - The transpyloric tube insertion technique using air insufflation helps in the correct positioning of the tube in the fourth duodenal portion of the intestine
- Secondary Outcome Measures
Name Time Method Secondary outcomes are not expected