Dataset Information

Digital assistance of nasogastric tube insertion in intubated patients under general anesthesia: A single-blinded prospective randomized study.

ABSTRACT: BACKGROUND:Nasogastric tube (NGT) insertion may pose a special problem in patients under general anesthesia with first attempt failure rates up to 50%. To increase insertion success rate and decreases related complications, several techniques have been developed. In this study, digital assistance technique is compared to the classic insertion technique in neck flexion. MATERIALS AND METHODS:In this prospective randomized study, 160 patients were randomly allocated into two groups; control group (Group C, n = 80) where NGT tube will be inserted with the neck in flexion position and digital facilitation group (Group D, n = 80). RESULTS:Overall success rate and first attempt success were statistically higher in Group D compared to Group C (94% vs. 81%, P = 0.02, 80% vs. 62%, P = 0.01 respectively) with significantly lower insertion time in Group D (13 ± 5 s. vs. 10 ± 3 s., P = 0.00). CONCLUSIONS:Digital assistance of NGT insertion in the anesthetized or unconscious patient is an effective, fast, and safe method that can be either used as a routine technique or as a rescue in case of failed other methods.

SUBMITTER: Kandeel A

PROVIDER: S-EPMC5516489 | biostudies-literature | 2017 Jul-Sep

REPOSITORIES: biostudies-literature

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Digital assistance of nasogastric tube insertion in intubated patients under general anesthesia: A single-blinded prospective randomized study.

Kandeel Alrefaey A Elmorhedi Mohammed M Abdalla Usama U

Saudi journal of anaesthesia 20170701 3

<h4>Background</h4>Nasogastric tube (NGT) insertion may pose a special problem in patients under general anesthesia with first attempt failure rates up to 50%. To increase insertion success rate and decreases related complications, several techniques have been developed. In this study, digital assistance technique is compared to the classic insertion technique in neck flexion.<h4>Materials and methods</h4>In this prospective randomized study, 160 patients were randomly allocated into two groups; ...[more]

PMID: 28757827

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Project description:BackgroundNasogastric (NG) tube insertion is a common procedure in the clinical setting that causes much discomfort and pain for the patient. Pain control is often suboptimal, as many NG tube insertions are performed without any pain-relieving supplements. The aim of this study was to summarize and critically evaluate the evidence from randomized controlled trials (RCTs) on the effect and adverse effects of lidocaine agents in reducing pain and discomfort associated with NG tube insertion.MethodsDatabases from the Cochrane Library, MEDLINE, EMBASE, Airiti Library, PerioPath Index to Taiwan Periodical Literature, and Cumulative Index of Nursing and Allied Health (CINAHL) were searched from inception to April 2017. RCTs focusing on lidocaine before NG tube insertion were appraised. The primary outcome was the visual analog scale (VAS) score. The modified Jadad scale was used for quality assessment. Mean difference (MD) with 95% confidence intervals (95% CIs) and odds ratio (OR) for binary outcomes were assessed by a random effects model. Heterogeneity was determined by using the Cochran Q test and I statistics. Publication bias was analyzed by using a funnel plot analysis.ResultsTen RCTs enrolling 734 patients were included in the meta-analysis. Eight of the 10 RCTs reporting VAS scores had sufficient quantitative data to be pooled through meta-analysis. Results revealed a significant reduction in VAS score, with a MD of -26.05 and a CI of -28.21 to -23.89 with moderate heterogeneity (P?<?.001, I?=?56%). There were no significant changes in difficulty of NG tube insertions (MD?=?-0.30, 95% CI, -1.30 to 0.70, P?=?.55), number of NG tube insertion attempts (MD?=?-0.22, 95% CI, -0.98 to 0.53, P?=?.56), nasal bleeding (OR?=?0.62, 95% CI, 0.11-3.41, P?=?.59), and vomiting (OR?=?0.30, 95% CI, 0.07-1.27, P?=?.10).ConclusionThis meta-analysis suggests that applying lidocaine before NG tube insertion can alleviate pain and discomfort by 26% without increasing nasal bleeding or vomiting.

Dataset Information

Digital assistance of nasogastric tube insertion in intubated patients under general anesthesia: A single-blinded prospective randomized study.

Publications

Digital assistance of nasogastric tube insertion in intubated patients under general anesthesia: A single-blinded prospective randomized study.

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