Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Reverse sellicks manoeuvre: In reverse sellicks group patient head will be kept in neutral position endotracheal tube will be deflated.A cold NGT will be inserted into the selected nost
Sponsors
NIL
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients with ASA physical status grade I to IV aged above 18 years. 2.Patients Scheduled to undergo elective surgery under general anaesthesia with endotracheal intubation and need a nasogastric tube as a usual course of management. 3.A patient whose trachea is intubated under chemical paralysis, needing a nasogastric tube placement.
Exclusion criteria
Exclusion criteria: 1.Presence of nasal mass, nasal stenosis 2.History of corrosive poisoning 3.Uncontrolled bleeding diathesis 4.Recent radiotherapy to head and neck 5.Presence of cleft lip or palate 6.Significant deviated nasal septum 7.Esophageal stricture and varices 8.Base of skull fracture 9.A patient who will not require X-ray in their usual course of management. 10. Pregnant and lactating mother. 11. Patients not willing to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the first attempt success rate of nasogastric intubation using cold NGT with Reverse Sellick’s manoeuvre(3) with positive whoosh test (auscultation while injecting air)Timepoint: At Baseline, at 5 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the overall success rate of nasogastric intubation using cold NGT with Reverse Sellick’s manoeuvre(3) by radiological confirmation with plain X-ray (showing the tube-tip below T12) [time 24 hours]’Timepoint: To determine the overall success rate of nasogastric intubation using cold NGT with Reverse Sellick’s manoeuvre(3) by radiological confirmation with plain X-ray (showing the tube-tip below T12) [time 24 hours]’ | — |
Countries
India
Contacts
Public ContactDr Shameem S
Sri venkateswara institute of medical sciences
Outcome results
None listed