Comparison of Different Methods of Nasogastric Tube Insertion in Anesthetized and Intubated Patients

Antalya Training and Research Hospital200 enrolled

Overview

The primary aim of this study is to investigate the difference in the first attempt and overall success rate of different techniques for insertion of nasogastric tube. Secondary aim is to investigate the difference of the duration of insertion using the selected technique, complications during insertion such as kinking, knotting, mucosal bleeding

Two hundred adult patients, who received general anaesthesia for elective abdominal surgeries that required nasogastric tube insertion, will be randomized by means of a computer-generated randomization order into four groups: Conventional group (Group C), head in the lateral position group (Group L), endotracheal tube assisted group (group ET) and video laryngoscope group (group MG). Success rate of the selected technique (first attempt, second attempt and overall), duration of insertion for selected technique, complications such as kinking and mucosal bleeding will be noted.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

200

Conditions

Disorder of Abdomen

Interventions

conventional techniquePROCEDURE

the nasogastric tube will be inserted gently through a selected nostril with the head being maintained in the neutral position.

head in the lateral position techniquePROCEDURE

the patient's head will be turned to the right lateral position. Nasogastric tube will be inserted through the right nostril without any maneuvers of the neck.

endotracheal tube assisted techniquePROCEDURE

Nasogastric tube will be inserted the trimmed 7.5 mm internal diameter endotracheal tube what cut proximal end with sterile scissors and endotracheal tube will be advanced blindly into the oral cavity to a depth of approximately 18 cm without laryngoscope together the nasogastric tube.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients who received general anaesthesia for elective abdominal surgeries that required nasogastric tube insertion. Exclusion Criteria: * Patients with a history of coagulopathy, * nasal stenosis, * upper respiratory tract diseases or anomalies, * esophageal varix, esophageal hiatus hernia, * base of skull fracture, * loose teeth, * Cormack and Lehane and/or Mallampati scores of 3 or 4, * patients younger than 18 years and older than 70 years

Locations (1)

Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation

Antalya, Turkey (Türkiye)

Outcomes

Primary Outcomes

difference in the first attempt and overall success rate

investigate the difference in the first attempt and overall success rate (with percentage) of different techniques for insertion of nasogastric tube.

Time frame: participants will be followed to the starting from the NG tube insert through the nostril until the confirm to successful insertion into stomach.

Secondary Outcomes

difference of the duration of insertion and complications during insertion

investigate the difference of the duration of insertion (in seconds) using the selected technique and complications (with number and percentage) during insertion such as kinking, knotting, mucosal bleeding

Time frame: participants will be followed for the duration of intraoperative period and postoperative 4 hours.

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.