Confirmation of Ryle's tube placement by bubble in jelly technique

Deb, Prakash; Bhattacharyya, Prithwis

doi:10.4103/jmas.jmas_110_21

Cited by 1 publication

(2 citation statements)

References 4 publications

(4 reference statements)

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“…The insertion of a NGT has been used as management in abdominal surgery to facilitate surgical processes by decompressing the distended stomach and enhancing the visibility of the surgical field [ 9 , 12 , 13 , 14 ]. However, prophylactic and routine insertion of a NGT should be avoided because there is weak evidence that gastric decompression decreases anastomotic leakage or ileus, facilitates proceedings, and enhances the recovery of patients [ 8 , 9 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, using a nasogastric tube (NGT) may sometimes be necessary for several reasons. During various laparoscopic surgery procedures, gastric decompression using an NGT or orogastric tube may be required to avoid intraabdominal organ injury or enhance the surgical view [ 12 , 13 , 14 ]. Patients at risk of potential complications, such as pulmonary aspiration due to regurgitation of gastric contents, may require gastric decompression during laparoscopic surgery [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Optimal Insertion Depth of Gastric Decompression Tube with a Thermistor for Patients Undergoing Laparoscopic Surgery in Trendelenburg Position

Jong

Lim

Jung

2022

IJERPH

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Monitoring core temperature is crucial for maintaining normothermia during general anesthesia. Insertion of a gastric decompression tube (GDT) may be required during laparoscopic surgery. Recently, a newly designed GDT with a thermistor for monitoring esophageal temperature has been introduced. The purpose of the present study was to evaluate the optimal insertion depth of a GDT with a thermistor. Forty-eight patients undergoing elective laparoscopic surgery in the Trendelenburg position were included in the study. The GDT was inserted to a depth of nose–earlobe–xiphoid distance (NEX) + 12 cm and withdrawn sequentially, 2 cm at a time, at 5-min intervals. Temperatures of the GDT thermistor were compared with the core temperature of the tympanic membrane (TM) using Bland and Altman analysis. The correlation between optimal insertion depth of the GDT and anatomical distance (cricoid cartilage to the carina, CCD; carina to the left hemidiaphragm, CLHD) was evaluated, and a mathematical model to predict the optimal insertion depth of the GDT with a thermistor was calculated. Temperatures of TM and GDT thermistor at NEX + 4 cm showed good agreement and strong correlation, but better agreement and stronger correlation were seen at the actual location with the most minor temperature differences. The optimal insertion depth of the GDT was estimated as −15.524 + 0.414 × CCD − 0.145 × CLHD and showed a strong correlation with the actual GDT insertion depth (correlation coefficient 0.797, adjusted R2 = 0.636). The mathematical formula using CCD and CLHD would be helpful in determining the optimal insertion depth of a GDT with a thermistor.

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