Comparison of Different Methods of Nasogastric Tube Insertion in Anesthetized and Intubated Patients

Not Applicable

Completed

• Conditions: Disorder of Abdomen
• Interventions: Procedure: endotracheal tube assisted technique; Procedure: head in the lateral position technique; Procedure: conventional technique; Procedure: videolaryngoscope technique

• Registration Number: NCT02557204
• Lead Sponsor: Antalya Training and Research Hospital

Brief Summary

The primary aim of this study is to investigate the difference in the first attempt and overall success rate of different techniques for insertion of nasogastric tube. Secondary aim is to investigate the difference of the duration of insertion using the selected technique, complications during insertion such as kinking, knotting, mucosal bleeding

Detailed Description

Two hundred adult patients, who received general anaesthesia for elective abdominal surgeries that required nasogastric tube insertion, will be randomized by means of a computer-generated randomization order into four groups: Conventional group (Group C), head in the lateral position group (Group L), endotracheal tube assisted group (group ET) and video laryngoscope group (group MG).

Success rate of the selected technique (first attempt, second attempt and overall), duration of insertion for selected technique, complications such as kinking and mucosal bleeding will be noted.

Study Timeline

• Study Start: 2015-09
• Study First Submitted: 2015-09-17
• Study First Submitted QC: 2015-09-21
• Study First Posted: 2015-09-23
• Primary Completion: 2015-11
• Study Completion: 2015-11
• Status Verified: 2015-12
• Last Update Submitted: 2015-12-06
• Last Update Posted: 2015-12-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• Patients who received general anaesthesia for elective abdominal surgeries that required nasogastric tube insertion.

Exclusion Criteria

• Patients with a history of coagulopathy,
• nasal stenosis,
• upper respiratory tract diseases or anomalies,
• esophageal varix, esophageal hiatus hernia,
• base of skull fracture,
• loose teeth,
• Cormack and Lehane and/or Mallampati scores of 3 or 4,
• patients younger than 18 years and older than 70 years

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
endotracheal tube assisted technique	endotracheal tube assisted technique	Nasogastric tube will be inserted the trimmed 7.5 mm internal diameter endotracheal tube what cut proximal end with sterile scissors and endotracheal tube will be advanced blindly into the oral cavity to a depth of approximately 18 cm without laryngoscope together the nasogastric tube.
head in the lateral position technique	head in the lateral position technique	the patient's head will be turned to the right lateral position. Nasogastric tube will be inserted through the right nostril without any maneuvers of the neck.
conventional technique	conventional technique	the nasogastric tube will be inserted gently through a selected nostril with the head being maintained in the neutral position.
videolaryngoscope technique	videolaryngoscope technique	Nasogastric tube was inserted transnasally and advanced into esophagus under direct vision.

Primary Outcome Measures

Name	Time	Method
difference in the first attempt and overall success rate	participants will be followed to the starting from the NG tube insert through the nostril until the confirm to successful insertion into stomach.	investigate the difference in the first attempt and overall success rate (with percentage) of different techniques for insertion of nasogastric tube.

Secondary Outcome Measures

Name	Time	Method
difference of the duration of insertion and complications during insertion	participants will be followed for the duration of intraoperative period and postoperative 4 hours.	investigate the difference of the duration of insertion (in seconds) using the selected technique and complications (with number and percentage) during insertion such as kinking, knotting, mucosal bleeding

Trial Locations

Locations (1)

Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation; 🇹🇷 Antalya, Turkey