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NCT Number: NCT02557204

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

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

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Key information

Conditions

Disorder of Abdomen

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation

Antalya, 07100, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Conventional technique

Procedure

the nasogastric tube will be inserted gently through a selected nostril with the head being maintained in the neutral position.

head in the lateral position technique

Procedure

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.

endotracheal tube assisted technique

Procedure

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.

videolaryngoscope technique

Procedure

Nasogastric tube was inserted transnasally and advanced into esophagus under direct vision.

Primary outcomes

  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 outcomes

  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

Sponsors and collaborators

Lead sponsor

Antalya Training and Research Hospital

Other Gov

Registry information

Official study title

Comparison of Different Methods of Nasogastric Tube Insertion in Anesthetized and Intubated Patients: A Prospective Randomized Controlled Trial

Important dates

Study start
2015
Primary completion
2015
Study completion
2015
First posted
Sep 23, 2015
Registry last updated
Dec 8, 2015

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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