Cargando…

Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method

BACKGROUND: The “Rusch” intubation stylet is used to make endotracheal tube intubation easy. We designed this study to evaluate the usage of this equipment in the guidance of nasogastric tube (NGT) insertion. METHODS: A total of 103 patients, aged 23 to 70 years, undergoing gastrointestinal or hepat...

Descripción completa

Detalles Bibliográficos
Autores principales: Tsai, Yung-Fong, Luo, Chiao-Fen, Illias, Amina, Lin, Chih-Chung, Yu, Huang-Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444911/
https://www.ncbi.nlm.nih.gov/pubmed/22853453
http://dx.doi.org/10.1186/1471-230X-12-99
_version_ 1782243737641943040
author Tsai, Yung-Fong
Luo, Chiao-Fen
Illias, Amina
Lin, Chih-Chung
Yu, Huang-Ping
author_facet Tsai, Yung-Fong
Luo, Chiao-Fen
Illias, Amina
Lin, Chih-Chung
Yu, Huang-Ping
author_sort Tsai, Yung-Fong
collection PubMed
description BACKGROUND: The “Rusch” intubation stylet is used to make endotracheal tube intubation easy. We designed this study to evaluate the usage of this equipment in the guidance of nasogastric tube (NGT) insertion. METHODS: A total of 103 patients, aged 23 to 70 years, undergoing gastrointestinal or hepatic surgeries that required intraoperative NGT insertions were enrolled into our study. The patients were randomly allocated to the control group (Group C) or the stylet group (Group S) according to a computerized, random allocation software program. In the control group, the NGT was inserted with the patient’s head in an intubating position. In the stylet group, the NGT was inserted with the assistance of a “Rusch” intubation stylet tied together at the tips by a slipknot. The success rates of the two methods, the durations of the insertions, and the occurrences of complications were recorded. All of the failed cases in the control group were subjected to the new technique used in the stylet group, and the successful rescue rate was also evaluated. RESULTS: Successful insertions were recorded for 52/53 patients (98.1%) in Group S and for 32/50 patients (64%) in Group C. The mean insertion times were 39.5 ± 19.5 seconds in Group C and 40.3 ± 23.2 seconds in Group S. Successful rescues of failure cases in Group C were achieved in 17/18 patients (94.4%) with the assistance of a “Rusch” intubation stylet. CONCLUSIONS: The “Rusch” intubation stylet-guided method is reliable with a high success rate of NGT insertion in anesthetized and intubated patients. TRIAL REGISTRATION: Institutional Review Board of Chang Gung Memorial Hospital (IRB: 98-2669B) and Australian New Zealand Clinical Trials Registry (ACTRN12611000423910)
format Online
Article
Text
id pubmed-3444911
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-34449112012-09-19 Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method Tsai, Yung-Fong Luo, Chiao-Fen Illias, Amina Lin, Chih-Chung Yu, Huang-Ping BMC Gastroenterol Research Article BACKGROUND: The “Rusch” intubation stylet is used to make endotracheal tube intubation easy. We designed this study to evaluate the usage of this equipment in the guidance of nasogastric tube (NGT) insertion. METHODS: A total of 103 patients, aged 23 to 70 years, undergoing gastrointestinal or hepatic surgeries that required intraoperative NGT insertions were enrolled into our study. The patients were randomly allocated to the control group (Group C) or the stylet group (Group S) according to a computerized, random allocation software program. In the control group, the NGT was inserted with the patient’s head in an intubating position. In the stylet group, the NGT was inserted with the assistance of a “Rusch” intubation stylet tied together at the tips by a slipknot. The success rates of the two methods, the durations of the insertions, and the occurrences of complications were recorded. All of the failed cases in the control group were subjected to the new technique used in the stylet group, and the successful rescue rate was also evaluated. RESULTS: Successful insertions were recorded for 52/53 patients (98.1%) in Group S and for 32/50 patients (64%) in Group C. The mean insertion times were 39.5 ± 19.5 seconds in Group C and 40.3 ± 23.2 seconds in Group S. Successful rescues of failure cases in Group C were achieved in 17/18 patients (94.4%) with the assistance of a “Rusch” intubation stylet. CONCLUSIONS: The “Rusch” intubation stylet-guided method is reliable with a high success rate of NGT insertion in anesthetized and intubated patients. TRIAL REGISTRATION: Institutional Review Board of Chang Gung Memorial Hospital (IRB: 98-2669B) and Australian New Zealand Clinical Trials Registry (ACTRN12611000423910) BioMed Central 2012-08-01 /pmc/articles/PMC3444911/ /pubmed/22853453 http://dx.doi.org/10.1186/1471-230X-12-99 Text en Copyright ©2012 Tsai et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Tsai, Yung-Fong
Luo, Chiao-Fen
Illias, Amina
Lin, Chih-Chung
Yu, Huang-Ping
Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method
title Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method
title_full Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method
title_fullStr Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method
title_full_unstemmed Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method
title_short Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method
title_sort nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444911/
https://www.ncbi.nlm.nih.gov/pubmed/22853453
http://dx.doi.org/10.1186/1471-230X-12-99
work_keys_str_mv AT tsaiyungfong nasogastrictubeinsertioninanesthetizedandintubatedpatientsanewandreliablemethod
AT luochiaofen nasogastrictubeinsertioninanesthetizedandintubatedpatientsanewandreliablemethod
AT illiasamina nasogastrictubeinsertioninanesthetizedandintubatedpatientsanewandreliablemethod
AT linchihchung nasogastrictubeinsertioninanesthetizedandintubatedpatientsanewandreliablemethod
AT yuhuangping nasogastrictubeinsertioninanesthetizedandintubatedpatientsanewandreliablemethod