Comparison of Three Techniques of Nasogastric Tube Insertion Without Instrumentation in Anesthetised Intubated Patients: A Prospective Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 27
- 主要终点
- Overall success rate
研究概览
简要总结
This study compares two modified techniques(contralateral cricothyroid pressure and ipsilateral head turning technique) of nasogastric tube insertion in anesthetized and intubated patients with the conventional technique.
详细描述
The insertion of nasogastric tube in anesthetized, paralysed and intubated unconscious patients may be difficult, with a reported failure rate of nearly 50% on the first attempt, with the head in neutral position there are many different maneuvers to facilitate the insertion of nasogastric tube published.
Our hypothesis is that contralateral cricothyroid pressure to the selected nostril for nasogastric tube insertion will be able to avoid the difficulty.
Therefore we are going to compare this technique with the conventional technique (head in neutral position) with lateral head turning group and contralateral cricothyroid pressure group We hope that the contralateral cricothyroid pressure will increase the success rate, as this will be helpful in intubated patients with neck pathology.
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
- None
入排标准
- 年龄范围
- 20 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patient who is scheduled for elective surgery under general anaesthesia requiring NGT insertion
- •aged 20 to 70 years old
- •with normal airway (Commack Lehane 1 or 2) and neck movements.
排除标准
- •Patient who has nasal stenosis, nasal septal deviation, upper airway deformity, base of skull fracture, oesophageal disorders, coagulopathy, and pregnant.
研究组 & 干预措施
Conventional technique
Nasogastric tube
干预措施: Conventional technique (Other)
Contralateral cricothyroid pressure
Nasogastric tube
干预措施: Contralateral cricothyroid pressure (Other)
Ipsilateral head turning
Nasogastric tube
干预措施: Ipsilateral head turning (Other)
结局指标
主要结局
Overall success rate
时间窗: At induction of general anesthesia
Percentage
次要结局
- First attempt success rate(At induction of general anesthesia)
- Time taken to successful nasogastric tube placement(At induction of general anesthesia)