Efficacy and Safety of a Modified Method for Blind Bedside Placement of Post-pyloric Feeding Tube：a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Nutritional Support, Catheterization, Post-pyloric Feeding Tube, Dysphagia
- Sponsor
- Second Affiliated Hospital, School of Medicine, Zhejiang University
- Enrollment
- 99
- Primary Endpoint
- The success rate of NIT placement
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
To compare efficacy and safety of a new modified post-pyloric feeding tube bedside catheterization with Corpak 10-10-10 protocol and electromagnetic guided catheterization for treatment of patients with dysphagia and at high-risk of aspiration pneumonia. We conducted a single-center, single-blinded, and randomized controlled clinical trial. A total of 63 patients were treated with the non-gravity type CORFLO gastrointestinal feeding tube between 2017.1 and 2019.1 using different procedures: in the M group, patients underwent modified post-pyloric feeding tube bedside placement; in C group, patients underwent conventional Corpak protocol; in EM group, patients received standard electromagnetic guided tube placement.
Investigators
Eligibility Criteria
Inclusion Criteria
- •All patients had dysphagia that could not be alleviated within 48 hours
- •High-risk status with aspiration pneumonia, including consciousness disorder caused by various diseases, severe dementia, bed rest, gastroesophageal reflux, hiccup, gastric retention, achalasia of pyloric.
- •Can't receive nasogastric tube feeding.
Exclusion Criteria
- •The previous history of upper abdominal surgery.
- •Gastroduodenal ulcer and esophagogastric varices;
- •Severe sinusitis and nasal bone fracture;
- •Patients with recent gastrointestinal bleeding, intestinal obstruction, ischemic bowel disease, and epistaxis;
- •Patients with electromagnetically-guided catheterization should additionally exclude implantable cardiac defibrillator, implantable cardiac pacemaker or diaphragm pacemaker.
Outcomes
Primary Outcomes
The success rate of NIT placement
Time Frame: 2019.10
The successful catheterization was defined when the catheter tip was placed behind the pylorus.
Secondary Outcomes
- Operation time of tube insertion(2019.10)