Congenital Heart Disease
Conditions
Brief summary
Application of ultrasound technique to locate the end of the gastric tube in children aged 0-6 years
Detailed description
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.
Interventions
OTHERUltrasound was used to locate the end of the gastric tube
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.
OTHERConventional placing nasogastric tube group
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.
Sponsors
Children's Hospital of Fudan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Days to 6 Years
Healthy volunteers
Yes
Inclusion criteria
* Children with CHD who needed gastric tube in CCU were admitted * children aged 0-6 years * Informed consent of parents
Exclusion criteria
* Children with delayed sternal closure * The parents had cognitive impairment and mental disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of accurate gastric tube placement | The gastric tube is placed within ten minutes | 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). |
Countries
China
Outcome results
None listed