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Nasopharyngeal Airway Guide Nasogastric Tube Placement

Sponsor:
Collaborators:
Information provided by (Responsible Party):
October 4, 2018
October 5, 2018
October 5, 2018
October 2018
October 2019   (Final data collection date for primary outcome measure)
First attempt successful rate[ Time Frame: can be know after NG tube placement immediately ]
with or without Nasopharyngeal airway assistance

Second attempt successful rate[ Time Frame: can be know after NG tube placement immediately ]
with or without Nasopharyngeal airway assistance

Overall successful rate insertion[ Time Frame: can be know after NG tube placement immediately ]
with or without Nasopharyngeal airway assistance

Time cost during NG tube placement[ Time Frame: can be know after NG tube placement immediately ]
with or without Nasopharyngeal airway assistance

Same as current
  • Incidence of NG tube coiling[ Time Frame: can be know after NG tube placement immediately ]
    with or without Nasopharyngeal airway assistance during NG tube insertion
  • Incidence of NG tube kinking[ Time Frame: can be know after NG tube placement immediately ]
    with or without Nasopharyngeal airway assistance during NG tube insertion
  • Incidence of NG tube knotting[ Time Frame: can be know after NG tube placement immediately ]
    with or without Nasopharyngeal airway assistance during NG tube insertion
  • Incidence of epistaxis after NG tube placement[ Time Frame: can be know after NG tube placement immediately ]
    with or without Nasopharyngeal airway assistance during NG tube insertion
  • Mean blood pressure change after NG tube placement[ Time Frame: can be know after NG tube placement immediately ]
    with or without Nasopharyngeal airway assistance
  • Heart rate change after NG tube placement[ Time Frame: can be know after NG tube placement immediately ]
    with or without Nasopharyngeal airway assistance
 

Nasopharyngeal Airway Guide Nasogastric Tube Placement

Nasopharyngeal Airway Guide Nasogastric Tube Placement in Anesthetized and Intubated Patient: A Prospective Randomized Control Study

Nasogastric tube placement is essential for various surgery and critically ill patients. However, NG tube insertion in anesthetized, paralyzed, and intubated or unconscious patients may be difficult, with reported success rate less 50% on the first attempt without any auxiliary devices. Endotracheal tube intubation narrow the space of oropharynx and hypopharynx. Loss ability to swallow and tongue drop also made the NG tube coil in the mouth easily. We assume nasopharyngeal airway can facilitate NG tube insertion by opening a channel from nostril to epiglottis and reduce complications by protecting nasal cavity while insertion.

Interventional
N/A
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Masking: Interventional
Masking Description:
Primary Purpose: Treatment
  • Procedure: With nasopharyngeal airway
    Nasopharyngeal airway is previously inserted into selected nostril. NG tube is properly lubricated and placed through Nasopharyngeal airway.
  • Procedure: Without nasopharyngeal airway
    NG tube is properly lubricated and placed into selected nostril
  • Experimental: NG tube placement with nasopharyngeal tube
  • Active Comparator: NG tube placement with without nasopharyngeal tube
 
Recruiting
120
Same as current
December 2019
October 2019   (Final data collection date for primary outcome measure)
Inclusion Criteria: - Patient should be > 20 years old, ASA 1~3 under going schedule general anesthesia with endotracheal tube intubation - Patient who required NG tube placement for perioperative care Exclusion Criteria: - Coagulation abnormality (PLT≤100000, INR>1.2 & PT≥13) - Hemodynamic unstable (with inotropic agent use) - Arrythmia - Esophageal varices or stricture, Esophageal cancer, trauma or previous esophageal surgery - Gastric cancer involve cardiac orifice - Corrosive chemical (strong acid or alkali) ingestion - Skull base fracture - Recent nasal surgery, nasal fracture or severe nasal obstruction - Loose teeth that make endotracheal tube can not fix right side
Sexes Eligible for Study: All
20 Years and older   (Adult, Older Adult)
No
Taiwan
 
 
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD:
Chang Gung Memorial Hospital
:
April 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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