Accuracy of Ultrasonography in Confirming Correct Positioning of Nasogastric Tube in the Intensive Care Setting

NCT ID: NCT06693219

Last Updated: 2024-11-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 182 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-05-24
• Study Completion Date: 2023-04-30

Brief Summary

The goal of the study was to test whether a sonographic examination instead of an X-ray allows the position of a tube in the stomach to be checked.

Participants were patients admitted at an intensive care unit who required a nasogastric tube for several reasons (for example nutrition). After obtaining an informed consent from the patient or the family, the researchers checked the position of the tube with ultrasound and compared it with the gold standard, which is radiography. Data analysis allowed the concordance between the two tests to be analyzed.

Conditions

Nasogastric Tube Placement; Accuracy; Ultrasonography; Critical Care, Intensive Care

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: DIAGNOSTIC
• Blinding Strategy: NONE

Study Groups

Study population

Group Type: EXPERIMENTAL

ultrasonography to confirm the correct placement of a nasogastric tube in the stomach

Intervention Type: DIAGNOSTIC_TEST

The sonographic examination consisted of three parts: neck scan, epigastric scan, and injection test using a mixture of 25 mL NaCl 0.9% and 25 mL room air through the nasogastric tube to detect dynamic fogging

Interventions

ultrasonography to confirm the correct placement of a nasogastric tube in the stomach

The sonographic examination consisted of three parts: neck scan, epigastric scan, and injection test using a mixture of 25 mL NaCl 0.9% and 25 mL room air through the nasogastric tube to detect dynamic fogging

Intervention Type: DIAGNOSTIC_TEST

Eligibility Criteria

Inclusion Criteria

• age ≥ 18 years
• an already inserted nasogastric tube or required nasogastric tube insertion
• no contraindication for chest or abdominal X-ray
• no contraindication for neck and upper abdominal ultrasonography

Exclusion Criteria

• pregnancy
• basal skull fractures
• facial fractures
• previous or recent surgery of the neck, esophagus or stomach

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ente Ospedaliero Cantonale, Bellinzona

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Medicina Intensiva, Ente ospedaliero cantonale

Bellinzona, , Switzerland

Countries

Switzerland

Other Identifiers

2018-00036

Identifier Type: -

Identifier Source: org_study_id