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
研究概览
地位
条件
详细说明
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.
研究类型
注册 (实际的)
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- patient who is scheduled for elective surgery under general anaesthesia requiring NGT insertion
- aged 20 to 70 years old
- with normal airway (Commack Lehane 1 or 2) and neck movements.
Exclusion Criteria:
- Patient who has nasal stenosis, nasal septal deviation, upper airway deformity, base of skull fracture, oesophageal disorders, coagulopathy, and pregnant.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器:Conventional technique
Nasogastric tube
|
Nasogastric tube insertion with patient's head in neutral position
|
|
实验性的:Contralateral cricothyroid pressure
Nasogastric tube
|
Cricothyroid pressure is applied externally in the contralateral direction of selected nostril before nasogastric insertion.
|
|
实验性的:Ipsilateral head turning
Nasogastric tube
|
Patient's head is turned to the ipsilateral side of the selected nostril before nasogastric tube insertion.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Overall success rate
大体时间:At induction of general anesthesia
|
Percentage
|
At induction of general anesthesia
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
First attempt success rate
大体时间:At induction of general anesthesia
|
Percentage
|
At induction of general anesthesia
|
|
Time taken to successful nasogastric tube placement
大体时间:At induction of general anesthesia
|
Procedure start time is defined as the time when the nasogastric tube is inserted through the nostril.
The procedure end time is defined as the time of successful insertion and confirmed NGT placement or the time after two failed attempts.
The outcome is measured in second.
|
At induction of general anesthesia
|
合作者和调查者
调查人员
- 首席研究员:Sook Hui Chaw, M.Med、University of Malaya
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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