NCT03492008

Comparison of Three Techniques of Nasogastric Tube Insertion Without Instrumentation

Comparison of Three Techniques of Nasogastric Tube Insertion Without Instrumentation in Anesthetised Intubated Patients: A Prospective Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 27 (actual)
• Sponsor: University of Malaya · Academic / Other
• Sex: All
• Age: 20 Years – 70 Years
• Healthy volunteers: Not accepted

Summary

This study compares two modified techniques(contralateral cricothyroid pressure and ipsilateral head turning technique) of nasogastric tube insertion in anesthetized and intubated patients with the conventional technique.

Detailed description

The insertion of nasogastric tube in anesthetized, paralysed and intubated unconscious patients may be difficult, with a reported failure rate of nearly 50% on the first attempt, with the head in neutral position there are many different maneuvers to facilitate the insertion of nasogastric tube published. Our hypothesis is that contralateral cricothyroid pressure to the selected nostril for nasogastric tube insertion will be able to avoid the difficulty. Therefore we are going to compare this technique with the conventional technique (head in neutral position) with lateral head turning group and contralateral cricothyroid pressure group We hope that the contralateral cricothyroid pressure will increase the success rate, as this will be helpful in intubated patients with neck pathology.

Conditions

• General Anesthesia

Interventions

Type	Name	Description
OTHER	Conventional technique	Nasogastric tube insertion with patient's head in neutral position
OTHER	Contralateral cricothyroid pressure	Cricothyroid pressure is applied externally in the contralateral direction of selected nostril before nasogastric insertion.
OTHER	Ipsilateral head turning	Patient's head is turned to the ipsilateral side of the selected nostril before nasogastric tube insertion.

Timeline

• Start date: 2016-01-01
• Primary completion: 2016-12-31
• Completion: 2016-12-31
• First posted: 2018-04-09
• Last updated: 2018-04-09