Correct Gastric Tube Placement in Very Low Birth Weight Neonates: Comparison of NEX and NEMU Methods
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 220
- 试验地点
- 1
- 主要终点
- Gastric tube position
研究概览
简要总结
Gastric tube (GT) placement is a recurrent procedure in VLBW infants due to feeding impairment correlated with low birth weight.
Correct GT depth is mandatory to ensure an appropriate and safe enteral feeding: X-ray is the gold standard in order to check GT position, but this cannot be routinely performed due to x-ray exposure risk. Feeding a neonate through a misplaced GT is potentially harmful and may increase morbidity, mortality and hospitalization length.
Nurses estimate GT depth through external measurements. This study aims to identify the most appropriate insertion length predictor for orogastric tube placement in VLBW infants by comparing two different methods.
详细描述
Several methods have been suggested to estimate orogastric tube insertion length, but none of them has been validated in VLBW infants. The most commonly used methods are NEX (Nose-Ear-Xyphoid) and NEMU (Nose-Ear-Mid-Umbilicus) as predictors of nasogastric tube insertion. For the purpose of the present study NEX and NEMU methods were adjusted for orogastric tube placement.
Hence, primary aim of this study is:
To identify the most appropriate insertion length predictor for orogastric tube placement in VLBW infants by comparing NEX and NEMU methods.
Secondary aim is:
- To develop a new mathematical formula, based on the neonate's weight or length, to predict the insertion length of orogastric tube in VLBW infants
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 0 Days 至 28 Days（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Birth Weight ≤1500 grams (Very Low Birth Weight Infants)
- •Need for both umbilical catheter and gastric tube positioning at birth
排除标准
- •Birth Weight >1500 grams
- •Congenital respiratory or gastrointestinal tract malformations (from oral cavity to stomach included)
- •Critically unstable preterm infants will be excluded according to nurse or physician evaluation
结局指标
主要结局
Gastric tube position
时间窗: within 24 hours
Control on X-ray chest of the gastric tube placement by NEX and NEMU methods
次要结局
未报告次要终点
研究者
Chiara Baracetti
Registered Nurse
Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico