Intensive Care (ICU)
Conditions
Keywords
Nasogastric Tube Placement, Point-of-Care Ultrasonography, Diagnostic Accuracy Chest X-ray , Intensive Care Unit
Brief summary
his study evaluates the diagnostic accuracy of bedside gastric ultrasonography for confirmation of nasogastric tube placement in intensive care unit patients, using chest radiography as the reference standard. Sensitivity and specificity of bedside ultrasonography will be calculated to assess its performance in this clinical setting.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Age ≥ 18 years Clinical indication for nasogastric tube placement Written informed consent obtained from the patient or a legally authorized representative
Exclusion criteria
* Refusal to participate in the study Age \< 18 years Pregnancy Contraindications to nasogastric tube placement, including: Facial trauma Basilar skull fracture Esophageal obstruction Recent upper gastrointestinal surgery Presence of wounds, burns, or surgical dressings in the epigastric region that preclude adequate ultrasonographic evaluation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic accuracy of bedside gastric ultrasonography for confirmation of nasogastric tube placement | Immediately after nasogastric tube placement | Diagnostic accuracy of bedside gastric ultrasonography will be assessed by calculating sensitivity and specificity using chest radiography as the reference standard. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Agreement between bedside gastric ultrasonography and chest radiography | Immediately after nasogastric tube placement | The level of agreement between bedside gastric ultrasonography and chest radiography findings will be evaluated. |
| Time to confirmation of nasogastric tube placement | From tube insertion to confirmation | Time required to confirm correct nasogastric tube placement using bedside gastric ultrasonography and chest radiography. |