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The Use of Ultrasound in Nasogastric Tube Placement in Children Admitted to the Pediatric ICU

Not Applicable
Withdrawn
Conditions
Nasogastric Tube
Interventions
Diagnostic Test: Ultrasound following X-ray
Registration Number
NCT04104295
Lead Sponsor
Yale University
Brief Summary

The purpose of this study is to determine if ultrasound (US), when used by the clinician, can determine the presence of nasogastric tube (NGT) in the stomach of patients admitted to the pediatric intensive care unit (PICU).

Detailed Description

Currently, the standard of care is to routinely obtain an X-ray (XR) after every nasogastric tube (NGT) placement in the pediatric intensive care unit (PICU). After obtaining informed consent and the child's assent, a short (less than 10 minutes) ultrasound (US) scan of the abdomen within 2 hours of the routine XR.

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • PICU patient undergoing routine NGT insertion by nursing staff
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Exclusion Criteria
  • Any contraindication for US probe placement such as skin infection and abdominal wounds.
  • Hemodynamically unstable patients.
  • Patients for whom NGT placement will not be verified by XR, such as Ataxia Telangiectasia patients.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Ultrasound following X-rayUltrasound following X-rayAn ultrasound scan of the abdomen within 2 hours of the routine X-ray will be performed by a physician blinded to the X-ray results.
Primary Outcome Measures
NameTimeMethod
Correct placement of NG tubeUp to 10 minutes

The operational definition will be the number of correct identification of NG tube position using ultrasound, as compared to the official X-ray read.

Secondary Outcome Measures
NameTimeMethod
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