Nasopharyngeal Airway Guide Nasogastric Tube Placement

NCT ID: NCT03697642

Last Updated: 2020-02-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 108 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-10-24
• Study Completion Date: 2019-09-03

Brief Summary

Nasogastric tube placement is essential for various surgery and critically ill patients. However, NG tube insertion in anesthetized, paralyzed, and intubated or unconscious patients may be difficult, with reported success rate less 50% on the first attempt without any auxiliary devices. Endotracheal tube intubation narrow the space of oropharynx and hypopharynx. Loss ability to swallow and tongue drop also made the NG tube coil in the mouth easily. Investigators assume nasopharyngeal airway can facilitate NG tube insertion by opening a channel from nostril to epiglottis and reduce complications by protecting nasal cavity while inserting NG.

Conditions

Nasogastric Tube; Nasopharyngeal Airway; Anesthesia, General

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

NG tube placement with nasopharyngeal tube

Group Type: EXPERIMENTAL

With nasopharyngeal airway

Intervention Type: PROCEDURE

Nasopharyngeal airway is previously inserted into selected nostril. NG tube is properly lubricated and placed through Nasopharyngeal airway.

NG tube placement without nasopharyngeal tube

Group Type: ACTIVE_COMPARATOR

Without nasopharyngeal airway

Intervention Type: PROCEDURE

NG tube is properly lubricated and placed into selected nostril

Interventions

With nasopharyngeal airway

Nasopharyngeal airway is previously inserted into selected nostril. NG tube is properly lubricated and placed through Nasopharyngeal airway.

Intervention Type: PROCEDURE

Without nasopharyngeal airway

NG tube is properly lubricated and placed into selected nostril

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patient should be > 20 years old, ASA 1~3 under going schedule general anesthesia with endotracheal tube intubation
• Patient who required NG tube placement for perioperative care

Exclusion Criteria

• Coagulation abnormality (PLT≤100000, INR>1.2 & PT≥13)
• Hemodynamic unstable (with inotropic agent use)
• Arrythmia
• Esophageal varices or stricture, Esophageal cancer, trauma or previous esophageal surgery
• Gastric cancer involve cardiac orifice
• Corrosive chemical (strong acid or alkali) ingestion
• Skull base fracture
• Recent nasal surgery, nasal fracture or severe nasal obstruction
• Loose teeth that make endotracheal tube can not fix right side

• Minimum Eligible Age: 20 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Chang Gung Memorial Hospital

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Chang Gung Memorial Hospital

Taipei, , Taiwan

Countries

Taiwan

References

Huang TY, Lin JR, Chung YT. A preinstalled nasopharyngeal airway in the right nasal passageway to facilitate nasogastric intubation in anesthetized and intubated patients: a prospective randomized controlled trial. BMC Gastroenterol. 2020 Nov 3;20(1):365. doi: 10.1186/s12876-020-01514-6.

Reference Type: DERIVED

PMID: 33143639 (View on PubMed)

Other Identifiers

201800138A3

Identifier Type: -

Identifier Source: org_study_id