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Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study

BACKGROUND: Orogastric tube placement is a common procedure routinely used in clinical anesthesiology and intensive care medicine. Nevertheless high failure rates and severe complications have been reported. We conducted this study to evaluate if the usage of the new gastric tube guide would speed u...

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Autores principales: Alflen, Christian, Kriege, Marc, Schmidtmann, Irene, Noppens, Rüdiger R., Piepho, Tim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379493/
https://www.ncbi.nlm.nih.gov/pubmed/28376745
http://dx.doi.org/10.1186/s12871-017-0343-1
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author Alflen, Christian
Kriege, Marc
Schmidtmann, Irene
Noppens, Rüdiger R.
Piepho, Tim
author_facet Alflen, Christian
Kriege, Marc
Schmidtmann, Irene
Noppens, Rüdiger R.
Piepho, Tim
author_sort Alflen, Christian
collection PubMed
description BACKGROUND: Orogastric tube placement is a common procedure routinely used in clinical anesthesiology and intensive care medicine. Nevertheless high failure rates and severe complications have been reported. We conducted this study to evaluate if the usage of the new gastric tube guide would speed up the placement of orogastric tubes and ease the procedure. METHODS: Thirty one professionals were given a hands-on-training in orogastric tube placement in a simulation manikin without and with the gastric tube guide. Afterwards they performed both methods in randomized order. We recorded the placement time, counted the required attempts and asked the participants to rate their experience with both methods. RESULTS: The median placement time using the gastric tube guide was 14 s compared to 25 s without the device. In addition all participants were able to place the orogastric tube when using the gastric tube guide compared to 26/31 (84%) without it. Furthermore 26/31 (84%) users preferred the gastric tube guide over the standard method. CONCLUSION: Our results show that using the gastric tube guide to place orogastric tubes in a manikin led to a significant shorter placement time and a higher overall success rate.
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spelling pubmed-53794932017-04-07 Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study Alflen, Christian Kriege, Marc Schmidtmann, Irene Noppens, Rüdiger R. Piepho, Tim BMC Anesthesiol Research Article BACKGROUND: Orogastric tube placement is a common procedure routinely used in clinical anesthesiology and intensive care medicine. Nevertheless high failure rates and severe complications have been reported. We conducted this study to evaluate if the usage of the new gastric tube guide would speed up the placement of orogastric tubes and ease the procedure. METHODS: Thirty one professionals were given a hands-on-training in orogastric tube placement in a simulation manikin without and with the gastric tube guide. Afterwards they performed both methods in randomized order. We recorded the placement time, counted the required attempts and asked the participants to rate their experience with both methods. RESULTS: The median placement time using the gastric tube guide was 14 s compared to 25 s without the device. In addition all participants were able to place the orogastric tube when using the gastric tube guide compared to 26/31 (84%) without it. Furthermore 26/31 (84%) users preferred the gastric tube guide over the standard method. CONCLUSION: Our results show that using the gastric tube guide to place orogastric tubes in a manikin led to a significant shorter placement time and a higher overall success rate. BioMed Central 2017-04-04 /pmc/articles/PMC5379493/ /pubmed/28376745 http://dx.doi.org/10.1186/s12871-017-0343-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Alflen, Christian
Kriege, Marc
Schmidtmann, Irene
Noppens, Rüdiger R.
Piepho, Tim
Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study
title Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study
title_full Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study
title_fullStr Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study
title_full_unstemmed Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study
title_short Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study
title_sort orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379493/
https://www.ncbi.nlm.nih.gov/pubmed/28376745
http://dx.doi.org/10.1186/s12871-017-0343-1
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