Comparison of different methods of nasogastric tube insertion in anesthetized and intubated patients
Ali Sait Kavaklı, Nilgün Kavrut Öztürk, Arzu Karaveli, Asuman Arslan Onuk, Lütfi Özyürek, Kerem İnanoğlu
Department of Anesthesiology and Reanimation; Antalya Training and Research Hospital, Antalya, Turkey
Background and Aims Nasogastric (NG) tube insertion may be difficult in anesthetized and intubated patients with head in the neutral position. Several techniques are available to the successful insertion of NG tube. The aim of this study was to compare the different methods with the conventional method of NG tube insertion in terms of success rate, duration of insertion and insertion releated complications. Methods This study was approved by the ethics committee of the Training and Research Hospital, Antalya, Turkey (No. 64/14). Two hundred adult patients, who received general anaesthesia for elective abdominal surgeries that required NG tube insertion, were randomized into four groups: Conventional group (Group C), head in the lateral position group (Group L), endotracheal tube assisted group (group ET) and McGrath video laryngoscope group (group MG). Success rate of selected technique, duration of insertion for selected technique and complications were noted. Results Success rates of NG tube insertion in first attempt and overall were lower in group C than group ET and grup MG. There was no statistical difference between group L, group ET and group MG in terms of success rates. Mean duration and total time for successful insertion of NG tube in first attempt were significantly longer in group ET than other groups. Kinking was higher in group C. There was statistically lower in terms of mucosal bleeding in group MG compared the other groups. Conclusions Use of videolaryngoscope and endotracheal tube assisted during NG tube insertion compared with conventional technique increases the success rate and reduces the kinking in anaesthetised and intubated adult patients. Use of videolaryngoscope during NG tube insertion compared other techniques reduces the mucosal bleeding in anaesthetised and intubated adult patients.
|