Application of ultrasound technique to locate the end of the gastric tube in children aged 0-6 years
Bedside blind insertion is the most common method for gastric tube indwelling in clinical practice. The key problem is that the position of the tube cannot be accurately determined in real time.Bedside ultrasound has become a common medical technology, and resources are easy to obtain. Therefore, bedside ultrasound has the advantages of fast, accurate, real-time repeatable, and non-invasive in determining the position of the end of the indwelling gastric tube.The purpose of this study is to investigate the accuracy of bedside ultrasound in guiding gastric tube placement and judging the position of the end of the tube in children with CHD aged 0-6 years. To explore the feasibility and effectiveness of bedside ultrasound guided gastric tube placement during perioperative period in children with congenital heart disease (CHD), this study plans to procedure the prospective randomized controlled study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
144
1. Inform the family of the purpose and method of using bedside ultrasound to guide the placement of the gastric tube, and determine the position of the end of the tube. 2. The ultrasound machine was connected to the power supply and placed on the right side of the patient. 3. Select the appropriate type of gastric tube and measure the length of the indwelling gastric tube by nursing staff before inserting the tube. 4. Nurses who had been trained in ultrasound performed ultrasound judgment on the neck and abdomen of the children. Sonographers, intensive care physicians and nursing staff jointly judged the ultrasound images. 5. Conventional judgment method was used to determine the position of gastric tube 6. Bedside chest radiography, with results obtained by a radiologist. 7. Keep your child safe at all times.
1. Choose the appropriate type of gastric tube, and measure the length of the indwelling gastric tube by the nursing staff before the tube insertion. 2. The gastric tube was inserted by the conventional blind insertion method. 3. The conventional judgment method was used to determine the position of the gastric tube. 4. Bedside chest radiography, with results obtained by a radiologist. 5. Keep your child safe at all times.
CICU,Cardiovascular Center,Children Hospital of Fudan University
Shanghai, Shanghai Municipality, China
RECRUITINGProportion of accurate gastric tube placement
Accuracy of gastric tube placement is defined as proportion of accurate gastric tube placement (The tip of the nasogastric tube is positioned within the body or antrum of the stomach).
Time frame: The gastric tube is placed within ten minutes
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