Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trial
Background and Aims: Insertion of nasogastric tubes (NGTs) in anaesthetised, intubated patients with a conventional method is sometimes difficult. Different techniques of NGT insertion have been tried with varying degree of success. The aim of this prospective, randomised, open-label study was to ev...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Anaesthesia |
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| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=6;spage=714;epage=718;aulast=Mandal |
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| author | Mohan Chandra Mandal Sujata Dolai Santanu Ghosh Pallab Kumar Mistri Rajiv Roy Sekhar Ranjan Basu Sabyasachi Das |
| author_facet | Mohan Chandra Mandal Sujata Dolai Santanu Ghosh Pallab Kumar Mistri Rajiv Roy Sekhar Ranjan Basu Sabyasachi Das |
| author_sort | Mohan Chandra Mandal |
| collection | DOAJ |
| description | Background and Aims: Insertion of nasogastric tubes (NGTs) in anaesthetised, intubated patients with a conventional method is sometimes difficult. Different techniques of NGT insertion have been tried with varying degree of success. The aim of this prospective, randomised, open-label study was to evaluate three modified techniques of NGT insertion comparing with the conventional method in respect of success rate, time taken for insertion and the adverse events. Methods: In the operation theatre of general surgery, the patients were randomly allocated into four groups: Group C (control group, n = 54), Group W (ureteral guide wire group, n = 54), Group F (neck flexion with lateral pressure, n = 54) and Group R (reverse Sellick′s manoeuvre, n = 54). The number of attempts for successful NGT insertion, time taken for insertion and adverse events were noted. Results: All the three modified techniques were found more successful than the conventional method on the first attempt. The least time taken for insertion was noted in the reverse Sellick′s method. However, on intergroup analysis, neck flexion and reverse Sellick′s methods were comparable but significantly faster than the other two methods with respect to time taken for insertion. Conclusion: Reverse Sellick′s manoeuver, neck flexion with lateral neck pressure and guide wire-assisted techniques are all better alternatives to the conventional method for successful, quick and reliable NGT insertion with permissible adverse events in anaesthetised, intubated adult patients. Further studies after eliminating major limitations of the present study are warranted to establish the superiority of any one of these modified techniques. |
| first_indexed | 2024-12-13T07:44:31Z |
| format | Article |
| id | doaj.art-bdf4b69215e840febc9cca5c926ac821 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-13T07:44:31Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-bdf4b69215e840febc9cca5c926ac8212022-12-21T23:54:52ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492014-01-0158671471810.4103/0019-5049.147157Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trialMohan Chandra MandalSujata DolaiSantanu GhoshPallab Kumar MistriRajiv RoySekhar Ranjan BasuSabyasachi DasBackground and Aims: Insertion of nasogastric tubes (NGTs) in anaesthetised, intubated patients with a conventional method is sometimes difficult. Different techniques of NGT insertion have been tried with varying degree of success. The aim of this prospective, randomised, open-label study was to evaluate three modified techniques of NGT insertion comparing with the conventional method in respect of success rate, time taken for insertion and the adverse events. Methods: In the operation theatre of general surgery, the patients were randomly allocated into four groups: Group C (control group, n = 54), Group W (ureteral guide wire group, n = 54), Group F (neck flexion with lateral pressure, n = 54) and Group R (reverse Sellick′s manoeuvre, n = 54). The number of attempts for successful NGT insertion, time taken for insertion and adverse events were noted. Results: All the three modified techniques were found more successful than the conventional method on the first attempt. The least time taken for insertion was noted in the reverse Sellick′s method. However, on intergroup analysis, neck flexion and reverse Sellick′s methods were comparable but significantly faster than the other two methods with respect to time taken for insertion. Conclusion: Reverse Sellick′s manoeuver, neck flexion with lateral neck pressure and guide wire-assisted techniques are all better alternatives to the conventional method for successful, quick and reliable NGT insertion with permissible adverse events in anaesthetised, intubated adult patients. Further studies after eliminating major limitations of the present study are warranted to establish the superiority of any one of these modified techniques.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=6;spage=714;epage=718;aulast=MandalAdverse effectsenteral nutritioninstrumentationintubationsnasogastric tube |
| spellingShingle | Mohan Chandra Mandal Sujata Dolai Santanu Ghosh Pallab Kumar Mistri Rajiv Roy Sekhar Ranjan Basu Sabyasachi Das Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trial Indian Journal of Anaesthesia Adverse effects enteral nutrition instrumentation intubations nasogastric tube |
| title | Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trial |
| title_full | Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trial |
| title_fullStr | Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trial |
| title_full_unstemmed | Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trial |
| title_short | Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trial |
| title_sort | comparison of four techniques of nasogastric tube insertion in anaesthetised intubated patients a randomized controlled trial |
| topic | Adverse effects enteral nutrition instrumentation intubations nasogastric tube |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=6;spage=714;epage=718;aulast=Mandal |
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