Facilitation of NGT Insertion

Mansoura University

Status: Completed

Conditions: Nasogasrtic Tube Insertion

Treatments: Procedure: Digital facilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT02764632

RefaNGT

Details and patient eligibility

About

Insertion of a nasogastric tube (NGT) in anesthetized patients can be a disappointing experience. Many techniques have been explained to improve success rate along with increasing safety, such as forward displacement of the larynx, tube rigidity improvement methods, pushing it down directly through pharynx or using a guide tube. Failure of insertion under general anesthesia reached 50% in some publications

Enrollment: 150 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• all surgicl patients needing NGT insertion

Exclusion criteria

• refusal coagulopathy ASA more than 2

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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150 participants in 2 patient groups

Didgital group

Active Comparator group

Description:

After induction of anesthesia, and after ensuring muscle relaxation, NGT will be inserted through the selected nostril and advanced for 12 cm then the NGT was advanced according to study group advancing. In control group; NGT was inserted with patient head flexed. In D group, after feeling the NGT in pharynx, with the head in neutral position,the index finger was used to support the NGT with slight direction towards the left side. This will prevent tube kinking at this point in front of the resistance offered by the inflated tube cuff or arytenoids cartilage. Also, this digital support reinforces the tube at the area weakened by its openings

Treatment:

Procedure: Digital facilitation

Control group

No Intervention group