Ultrasound for Confirmation of Gastric Tube Placement in Critically Ill Patients Under Invasive Mechanical Ventilation

National Taiwan University

Status: Terminated

Conditions: Ultrasound for Confirmation of Gastric Tube Placement in Critically Ill Patients Under Invasive Mechanical Ventilation

Treatments: Diagnostic Test: Standard routine (SR); Diagnostic Test: ultrasonography (US)

Study type: Interventional

Funder types: Other

Identifiers

NCT04795895

201907167RINB

Details and patient eligibility

About

Introduction: Data using ultrasonography to confirm correct position of the gastric tube is heterogeneous in approach sites, combination exams, and methodology.

Aim: Find the best strategy to confirm gastric tube placement to avoid immediate complication.

Method: A randomized controlled trial was initiated to compare ultrasonography and standard routine method, using non-inferiority design. The study will be conducted in one medical ICU with 59 beds at a medical center. The primary outcome is the correct rate as comparing with the chest radiography in each group. Total 190 patients is needed with estimated 10% drop-out rate.

Enrollment: 62 patients

Sex: All

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical indication of nasogastric tube placement
• Age than 20 years old.

Exclusion criteria

• Facial trauma or head-base fractures
• Esophageal or gastric resection
• Esophageal strictures or alkaline injury
• Open wound in the area to prevent ultrasonography

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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62 participants in 2 patient groups

ultrasonography (US)

Experimental group

Treatment:

Diagnostic Test: ultrasonography (US)

Standard routine (SR)

Active Comparator group

Treatment:

Diagnostic Test: Standard routine (SR)