Comparison of Different Methods of Nasogastric Tube Insertion in Anesthetized and Intubated Patients: A Prospective Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- difference in the first attempt and overall success rate
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who received general anaesthesia for elective abdominal surgeries that required nasogastric tube insertion.
排除标准
- •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
研究组 & 干预措施
conventional technique
the nasogastric tube will be inserted gently through a selected nostril with the head being maintained in the neutral position.
干预措施: conventional technique (Procedure)
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.
干预措施: head in the lateral position technique (Procedure)
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.
干预措施: endotracheal tube assisted technique (Procedure)
videolaryngoscope technique
Nasogastric tube was inserted transnasally and advanced into esophagus under direct vision.
干预措施: videolaryngoscope technique (Procedure)
结局指标
主要结局
difference in the first attempt and overall success rate
时间窗: 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.
次要结局
- difference of the duration of insertion and complications during insertion(participants will be followed for the duration of intraoperative period and postoperative 4 hours.)