Comparison of Digital Intubation (Two-finger) and Video Laryngoscopy

Not Applicable

Completed

• Conditions: Intubated Patients
• Interventions: Device: Digital Intubation (Two-finger); Device: Video Laryngoscopy

• Registration Number: NCT04414839
• Lead Sponsor: Isfahan University of Medical Sciences

Brief Summary

Abstract Background: A number of patients referring to the emergency departments (EDs) due to airway obstruction or decreased level of consciousness require the establishment of a definite airway using intubation. On the other hand, performing Nasogastric tube (NGT) insertion is very challenging in anesthetized and intubated patients. And, a conclusive method has not yet been presented in this regard. Hence, the current study aimed at comparing Digital Intubation (two-finger) and Video Laryngoscopy methods during NGT insertion.

Materials and Methods: The present clinical trial was performed on 76 intubated patients that were randomly divided into two groups. Groups A and B underwent Video Laryngoscopy and Digital Intubation (two-finger) methods, respectively. Then, the success rate, the number of attempts to insert NGT, duration of insertion, hemodynamic parameters, and patients' satisfaction level were recorded and examined in this study.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-06-01
• Primary Completion: 2020-03-20
• Study Completion: 2020-05-15
• Status Verified: 2020-06
• Study First Submitted: 2020-06-01
• Study First Submitted QC: 2020-06-02
• Last Update Submitted: 2020-06-02
• Study First Posted: 2020-06-04
• Last Update Posted: 2020-06-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 76

Inclusion Criteria

• 18-65 year old patients that underwent rapid sequence intubation (RSI) and required NGT insertion

Exclusion Criteria

• having skull base fracture symptoms
• coagulopathy and hemorrhagic disorders
• maxillofacial traumas leading to the deformity and disturbance in NGT insertion
• diseases and anomalies of the upper respiratory tract
• deviated nasal septum
• nostril stenosis
• esophageal disorders (esophageal stricture, esophageal varices)
• a history of head and neck radiotherapy, and
• patients intubated in and transferred from other centers
• patients with more than two unsuccessful attempts at NGT insertion were excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Digital Intubation (Two-finger)	Digital Intubation (Two-finger)	-
Video Laryngoscopy	Video Laryngoscopy	-

Primary Outcome Measures

Name	Time	Method
Success rate	Procedure (The start time was when NGT entered the selected nostril, and the end time was when the measured NGT length was fully entered the stomach.)	being successfully inserted into the stomach

Secondary Outcome Measures

Name	Time	Method
Insertion duration	Procedure (The start time was when NGT entered the selected nostril, and the end time was when the measured NGT length was fully entered the stomach.)	Measuring how long will it last to insert successfully an NG tube into the stomach

Trial Locations

Locations (1)

Al-Zahra University Hospital; 🇮🇷 Isfahan, Iran, Islamic Republic of