A Nasopharyngeal Airway Facilitates Nasogastric Intubation in Anesthetized Intubated Patients: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 108
- 试验地点
- 2
- 主要终点
- First attempt successful rate
研究概览
简要总结
Nasogastric tube placement is essential for various surgery and critically ill patients. However, NG tube insertion in anesthetized, paralyzed, and intubated or unconscious patients may be difficult, with reported success rate less 50% on the first attempt without any auxiliary devices. Endotracheal tube intubation narrow the space of oropharynx and hypopharynx. Loss ability to swallow and tongue drop also made the NG tube coil in the mouth easily. Investigators assume nasopharyngeal airway can facilitate NG tube insertion by opening a channel from nostril to epiglottis and reduce complications by protecting nasal cavity while inserting NG.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient should be > 20 years old, ASA 1~3 under going schedule general anesthesia with endotracheal tube intubation
- •Patient who required NG tube placement for perioperative care
排除标准
- •Coagulation abnormality (PLT≤100000, INR>1.2 & PT≥13)
- •Hemodynamic unstable (with inotropic agent use)
- •Arrythmia
- •Esophageal varices or stricture, Esophageal cancer, trauma or previous esophageal surgery
- •Gastric cancer involve cardiac orifice
- •Corrosive chemical (strong acid or alkali) ingestion
- •Skull base fracture
- •Recent nasal surgery, nasal fracture or severe nasal obstruction
- •Loose teeth that make endotracheal tube can not fix right side
结局指标
主要结局
First attempt successful rate
时间窗: can be know after NG tube placement immediately
with or without Nasopharyngeal airway assistance
Second attempt successful rate
时间窗: can be know after NG tube placement immediately
with or without Nasopharyngeal airway assistance
Overall successful rate insertion
时间窗: can be know after NG tube placement immediately
with or without Nasopharyngeal airway assistance
Time cost during NG tube placement
时间窗: can be know after NG tube placement immediately
with or without Nasopharyngeal airway assistance
次要结局
- Heart rate change after NG tube placement(can be know after NG tube placement immediately)
- Mean blood pressure change after NG tube placement(can be know after NG tube placement immediately)
- Incidence of NG tube coiling(can be know after NG tube placement immediately)
- Incidence of NG tube kinking(can be know after NG tube placement immediately)
- Incidence of NG tube knotting(can be know after NG tube placement immediately)
- Incidence of epistaxis after NG tube placement(can be know after NG tube placement immediately)