Comparison of Three Techniques of Nasogastric Tube Insertion Without Instrumentation

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-01

Study Completion Date

2016-12-31

Brief Summary

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This study compares two modified techniques(contralateral cricothyroid pressure and ipsilateral head turning technique) of nasogastric tube insertion in anesthetized and intubated patients with the conventional technique.

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Detailed Description

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The insertion of nasogastric tube in anesthetized, paralysed and intubated unconscious patients may be difficult, with a reported failure rate of nearly 50% on the first attempt, with the head in neutral position there are many different maneuvers to facilitate the insertion of nasogastric tube published.

Our hypothesis is that contralateral cricothyroid pressure to the selected nostril for nasogastric tube insertion will be able to avoid the difficulty.

Therefore we are going to compare this technique with the conventional technique (head in neutral position) with lateral head turning group and contralateral cricothyroid pressure group We hope that the contralateral cricothyroid pressure will increase the success rate, as this will be helpful in intubated patients with neck pathology.

Conditions

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General Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conventional technique

Nasogastric tube

Group Type ACTIVE_COMPARATOR

Conventional technique

Intervention Type OTHER

Nasogastric tube insertion with patient's head in neutral position

Contralateral cricothyroid pressure

Nasogastric tube

Group Type EXPERIMENTAL

Contralateral cricothyroid pressure

Intervention Type OTHER

Cricothyroid pressure is applied externally in the contralateral direction of selected nostril before nasogastric insertion.

Ipsilateral head turning

Nasogastric tube

Group Type EXPERIMENTAL

Ipsilateral head turning

Intervention Type OTHER

Patient's head is turned to the ipsilateral side of the selected nostril before nasogastric tube insertion.

Interventions

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Conventional technique

Nasogastric tube insertion with patient's head in neutral position

Intervention Type OTHER

Contralateral cricothyroid pressure

Cricothyroid pressure is applied externally in the contralateral direction of selected nostril before nasogastric insertion.

Intervention Type OTHER

Ipsilateral head turning

Patient's head is turned to the ipsilateral side of the selected nostril before nasogastric tube insertion.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* patient who is scheduled for elective surgery under general anaesthesia requiring NGT insertion
* aged 20 to 70 years old
* with normal airway (Commack Lehane 1 or 2) and neck movements.

Exclusion Criteria

* Patient who has nasal stenosis, nasal septal deviation, upper airway deformity, base of skull fracture, oesophageal disorders, coagulopathy, and pregnant.

Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No