Disorder of Abdomen
Conditions
Keywords
nasogastric tube insertion, Video laryngoscope, success rate
Brief summary
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
Detailed description
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.
Interventions
PROCEDUREconventional technique
the nasogastric tube will be inserted gently through a selected nostril with the head being maintained in the neutral position.
PROCEDUREhead in the lateral position technique
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.
PROCEDUREendotracheal tube assisted technique
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.
PROCEDUREvideolaryngoscope technique
Nasogastric tube was inserted transnasally and advanced into esophagus under direct vision.
Sponsors
Antalya Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| difference in the first attempt and overall success rate | participants will be followed to the starting from the NG tube insert through the nostril until the confirm to successful insertion into stomach. | investigate the difference in the first attempt and overall success rate (with percentage) of different techniques for insertion of nasogastric tube. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| difference of the duration of insertion and complications during insertion | participants will be followed for the duration of intraoperative period and postoperative 4 hours. | 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 |
Countries
Turkey (Türkiye)
Outcome results
None listed