A comparative study of different measuring techniques for appropriate orogastric tube positioning in low birth weight babies
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 62
- 试验地点
- 1
- 主要终点
- To determine most appropriate method of predicting orogastric tube position in neonates aiming to decrease malpositioned tubes in low birth weight babies admitted in NICU.
研究概览
简要总结
This prospective observational comparative cohort study aims to identify the most accurate method for predicting appropriate orogastric tube placement in low birth weight neonates admitted to the NICU at Kasturba Hospital, Manipal. Orogastric tubes are commonly used in newborns for feeding and gastric decompression, but incorrect placement can cause serious respiratory and gastrointestinal complications. The study compares different measurement techniques, including the standard NEMU method, a weight-based formula, and a combined method in extremely low birth weight babies. All eligible neonates under 2.5 kg will be included, and tube positions will be confirmed through clinically indicated chest X-rays. The accuracy of each method will be evaluated based on radiographic findings and categorized as proper, high, or deep placement. The study will help determine the most reliable and safe method to reduce malpositioned tubes and improve clinical outcomes in vulnerable neonates.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 1.00 Day(s) 至 28.00 Day(s)（—）
- 性别
- All
入选标准
- •1 All neonates weighing less than 2.5 kg admitted in NICU, KMC Manipal.
- •2 Neonates with OG tubes in place using the NEMU method 3 A confirmation chest CXray done after the placement of tube (only when clinically indicated).
排除标准
- •1 Neonates with a congenital malformation in the gastrointestinal tract, skeletal abnormality involving the neck and thoracic vertebral column.
- •2 Congenital anomalies/edema of face/Dysmorphic or syndromic neonates.
- •3 If proper position of the gastric tube could not be visualized on the CX Ray.
- •4 Stable neonates for which CXRay is not indicated clinically.
结局指标
主要结局
To determine most appropriate method of predicting orogastric tube position in neonates aiming to decrease malpositioned tubes in low birth weight babies admitted in NICU.
时间窗: Baseline
次要结局
- 1 To determine the variations in accuracy of different methods in LBW babies, VLBW babies and ELBW babies(2 To compare a novel method of combining birth-weight based formula in conjunction with NEMU method with other methods of orogastric tube placement in ELBW neonates)
研究者
CHAITANYA GUPTA
Kasturba Medical College, Manipal