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NCT Number: NCT06982495

Comparing Two Methods to Measure Nasogastric Tube Length

The goal of this clinical trial is to learn if using a novel nasogastric tube assisted placement system (NCKU-NG system) can more accurately place the nasogastric tube at the optimal position in the stomach compared to conventional blind insertion techniques in adult inpatients requiring nasogastric tube placement. The main questions it aims to answer are:

* Does the NCKU-NG system improve the accuracy of nasogastric tube placement at the optimal gastric position compared to standard blind insertion? * Does the NCKU-NG system reduce the rate of misplacement (such as entry into the airway or inadequate gastric depth), number of repeated attempts, and complication rate compared to the conventional method? * Can estimation of nasogastric tube length using the NCKU-NG system provide a more reliable reference than external measurement or X-ray?

Researchers will compare patients randomized to nasogastric tube insertion with the NCKU-NG system (intervention arm) versus conventional blind insertion following standard external measurement methods (control arm) to see if the NCKU-NG system improves placement accuracy and reduces adverse events.

Participants will:

* Be randomized to one of two groups:

* Intervention group: Receive nasogastric tube insertion using the NCKU-NG system (video-assisted real-time visualization, with active confirmation of passage through the esophagogastric junction and final position in the stomach based on sidehole location). * Control group: Receive traditional nasogastric tube blind bedside insertion based on standard measurement (eg. Nose-Earlobe-Xiphoid + 10 cm). * All procedures will use the same material nasogastric tube (16 French polyurethane radiopaque tube). * Undergo confirmation of tube position by X-ray within 8 hours post-insertion for both groups. * Have the following outcomes assessed:

* Placement accuracy (percentage of tubes placed at optimal predefined gastric position) * Number of placement attempts and failures * Rate of inadvertent airway or inadequate placement * Incidence of complications (e.g., aspiration, pneumothorax, gastrointestinal tract injury) * Correlation between video-assisted measurement and X-ray estimation of intragastric length

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Key information

Conditions

Intubation, Nasogastric Intubation Depth Intubation Intraesophageal Intubation Times Intubation; Complication

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults (aged ≥18 years)
  • Patients requiring nasogastric tube placement
  • Patients who are hospitalized

Exclusion criteria

  • Patients with a chest wound that prevents palpation of the xiphoid process
  • Patients who have had a gastrectomy
  • Patients with a gastric tumor
  • Patients with a head and neck tumor
  • Patients who are agitated and difficult to place the nasogastric tube
  • Patients with abnormal esophageal structure
  • Patients with a basilar skull fracture
  • Patients with acute upper gastrointestinal bleeding
  • Patients with an expected lifespan of less than 48 hours
  • Patients who cannot undergo an X-ray confirmation (e.g., pregnant women)
  • Patients with unstable blood pressure (mean arterial pressure < 65 mmHg)
  • Patients with ischemic, perforated, or obstructed bowel
  • Patients with high-output fistula/ostomy
  • Patients using photosensitive drugs
  • Critically ill patients
  • Patients with acute needs as determined by the attending physician
  • Patients with a Glasgow Coma Scale score < 8

Treatment and study plan

NCKU-NG system

Device

Nasogastric tube insertion with a novel nasogastric tube assisted placement system (NCKU-NG system)

Conventional blind insertion

Other

Conventional blind insertion following standard external measurement methods (eg. Nose-Earlobe-Xiphoid + 10 cm)

Primary outcomes

  1. Placement accuracy

    Time frame: Within 8 hours after the completion of a nasogastric tube insertion; that is, after the X-ray was taken

    Percentage of tubes placed at optimal predefined gastric position

Secondary outcomes

  1. First-attempt success rate

    Time frame: The moment after the completion of an nasogastric tube insertion

  2. Number of placement attempts

    Time frame: The moment after the completion of an nasogastric tube insertion

  3. Insertion time

    Time frame: The moment after the completion of an nasogastric tube insertion

  4. Incidence of complications

    Time frame: A week after the completion of an nasogastric tube insertion

  5. Correlation between video-assisted measurement and X-ray estimation of intragastric length

    Time frame: Within 8 hours after the completion of an nasogastric tube insertion

Sponsors and collaborators

Lead sponsor

National Cheng-Kung University Hospital

Other

Registry information

Official study title

Comparing Two Methods for Estimating Nasogastric Tube Length: A Randomized Control Study

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
May 21, 2025
Registry last updated
May 29, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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