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Comparison of Different Methods of Nasogastric Tube Insertion in Anesthetized and Intubated Patients

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ClinicalTrials.gov Identifier: NCT02557204
Recruitment Status : Completed
First Posted : September 23, 2015
Last Update Posted : December 8, 2015
Sponsor:
Information provided by (Responsible Party):
Antalya Training and Research Hospital

Brief Summary:
The primary aim of this study is to investigate the difference in the first attempt and overall success rate of different techniques for insertion of nasogastric tube. Secondary aim is to investigate the difference of the duration of insertion using the selected technique, complications during insertion such as kinking, knotting, mucosal bleeding

Condition or disease Intervention/treatment Phase
Disorder of Abdomen Procedure: conventional technique Procedure: head in the lateral position technique Procedure: endotracheal tube assisted technique Procedure: videolaryngoscope technique Not Applicable

Detailed Description:

Two hundred adult patients, who received general anaesthesia for elective abdominal surgeries that required nasogastric tube insertion, will be randomized by means of a computer-generated randomization order into four groups: Conventional group (Group C), head in the lateral position group (Group L), endotracheal tube assisted group (group ET) and video laryngoscope group (group MG).

Success rate of the selected technique (first attempt, second attempt and overall), duration of insertion for selected technique, complications such as kinking and mucosal bleeding will be noted.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Comparison of Different Methods of Nasogastric Tube Insertion in Anesthetized and Intubated Patients: A Prospective Randomized Controlled Trial
Study Start Date : September 2015
Actual Primary Completion Date : November 2015
Actual Study Completion Date : November 2015

Arm Intervention/treatment
Active Comparator: conventional technique
the nasogastric tube will be inserted gently through a selected nostril with the head being maintained in the neutral position.
Procedure: conventional technique
the nasogastric tube will be inserted gently through a selected nostril with the head being maintained in the neutral position.

Experimental: head in the lateral position technique
the patient's head will be turned to the right lateral position. Nasogastric tube will be inserted through the right nostril without any maneuvers of the neck.
Procedure: head in the lateral position technique
the patient's head will be turned to the right lateral position. Nasogastric tube will be inserted through the right nostril without any maneuvers of the neck.

Experimental: endotracheal tube assisted technique
Nasogastric tube will be inserted the trimmed 7.5 mm internal diameter endotracheal tube what cut proximal end with sterile scissors and endotracheal tube will be advanced blindly into the oral cavity to a depth of approximately 18 cm without laryngoscope together the nasogastric tube.
Procedure: endotracheal tube assisted technique
Nasogastric tube will be inserted the trimmed 7.5 mm internal diameter endotracheal tube what cut proximal end with sterile scissors and endotracheal tube will be advanced blindly into the oral cavity to a depth of approximately 18 cm without laryngoscope together the nasogastric tube.

Experimental: videolaryngoscope technique
Nasogastric tube was inserted transnasally and advanced into esophagus under direct vision.
Procedure: videolaryngoscope technique
Nasogastric tube was inserted transnasally and advanced into esophagus under direct vision.




Primary Outcome Measures :
  1. difference in the first attempt and overall success rate [ Time Frame: participants will be followed to the starting from the NG tube insert through the nostril until the confirm to successful insertion into stomach. ]
    investigate the difference in the first attempt and overall success rate (with percentage) of different techniques for insertion of nasogastric tube.


Secondary Outcome Measures :
  1. difference of the duration of insertion and complications during insertion [ Time Frame: participants will be followed for the duration of intraoperative period and postoperative 4 hours. ]
    investigate the difference of the duration of insertion (in seconds) using the selected technique and complications (with number and percentage) during insertion such as kinking, knotting, mucosal bleeding



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Ages Eligible for Study:   18 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients who received general anaesthesia for elective abdominal surgeries that required nasogastric tube insertion.

Exclusion Criteria:

  • Patients with a history of coagulopathy,
  • nasal stenosis,
  • upper respiratory tract diseases or anomalies,
  • esophageal varix, esophageal hiatus hernia,
  • base of skull fracture,
  • loose teeth,
  • Cormack and Lehane and/or Mallampati scores of 3 or 4,
  • patients younger than 18 years and older than 70 years

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02557204


Locations
Turkey
Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation
Antalya, Turkey, 07100
Sponsors and Collaborators
Antalya Training and Research Hospital
Investigators
Study Director: Ali S Kavakli, MD Antalya Training and Research Hospital

Publications:

Responsible Party: Antalya Training and Research Hospital
ClinicalTrials.gov Identifier: NCT02557204     History of Changes
Other Study ID Numbers: AntalyaTRH 007
First Posted: September 23, 2015    Key Record Dates
Last Update Posted: December 8, 2015
Last Verified: December 2015

Keywords provided by Antalya Training and Research Hospital:
nasogastric tube insertion
Video laryngoscope
success rate