Nasogastric Tube
Conditions
Keywords
nasogastric tube, ultrasound
Brief summary
The purpose of this study is to determine if ultrasound (US), when used by the clinician, can determine the presence of nasogastric tube (NGT) in the stomach of patients admitted to the pediatric intensive care unit (PICU).
Detailed description
Currently, the standard of care is to routinely obtain an X-ray (XR) after every nasogastric tube (NGT) placement in the pediatric intensive care unit (PICU). After obtaining informed consent and the child's assent, a short (less than 10 minutes) ultrasound (US) scan of the abdomen within 2 hours of the routine XR.
Interventions
DIAGNOSTIC_TESTUltrasound following X-ray
A short (less than 10 minutes) ultrasound (US) scan of the abdomen within 2 hours of the routine X-ray (XR). The performer will be a physician who received a focused training on relevant US views, blinded to the XR image and report.
Sponsors
Yale University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
0 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* PICU patient undergoing routine NGT insertion by nursing staff
Exclusion criteria
* Any contraindication for US probe placement such as skin infection and abdominal wounds. * Hemodynamically unstable patients. * Patients for whom NGT placement will not be verified by XR, such as Ataxia Telangiectasia patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correct placement of NG tube | Up to 10 minutes | The operational definition will be the number of correct identification of NG tube position using ultrasound, as compared to the official X-ray read. |
Outcome results
None listed