Gastric Tube Insertion Complications in Neonates
Conditions
Interventions
Real-time ultrasound guidance group (intervention group):Use high-frequency linear array probes (7-10 MHZ) or convex array probes (3-5 MHZ) to dynamically monitor the tip position of the gastric tube
During the operation, continuously observe the path of the gastric tube to ensure that the tip is located in the middle of the gastric body.
Traditional body surface measurement group (control group):Transnasal path: Nostril ? earlobe ? xiphoid process distance estimation of catheterization depth
Oral route: Angular mouth ? Earlobe ? xiphoid distance estimation
After catheterization, the position was verified by auscultation of the sound of air passing through water or by retracting gastric j
Sponsors
Shangrao Maternal and Child Health Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria: Newborns (gestational age >=28 weeks, birth weight >=1000g); It needs to be inserted through an oral/nasogastric tube (such as feeding difficulties in premature infants and respiratory distress syndrome); The guardian signs the informed consent form.
Exclusion criteria
Exclusion criteria: Exclusion criteria: Congenital digestive tract malformations; Severe hemodynamic instability; Previous history of failed gastric tube implantation.; Abnormal coagulation function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The success rate of one-time catheterization;Core complication: Gastroesophageal reflux (classified by severity);Core complication: Gastric bleeding;Feeding tolerance;Location; | — |
Secondary
| Measure | Time frame |
|---|---|
| Feeding start time;Reach the time of total enteral feeding; | — |
Countries
China
Contacts
Public ContactWei Xiong
Shangrao Maternal and Child Health Hospital
Outcome results
None listed