Nasogastric tube insertion in anaesthetized patients: a comprehensive review

Sanaie, Sarvin; Mahmoodpoor, Ata; Najafi, Mahdi

doi:10.5603/ait.a2017.0001

Cited by 28 publications

(28 citation statements)

References 84 publications

(125 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nowadays, numerous alternatives can aid the confirmation of gastric tube placement to reduce the incidence of placement-related complications. [ 9 ] The most popular is the auscultation method. Auscultation alone is 60% to 80% reliable in terms of guiding the proper placement of the gastric tube.…”

Section: Discussionmentioning

confidence: 99%

A new strategy for enteral nutrition using a deflection flexible visual gastric tube

Feng²,

Wan³

et al. 2018

Medicine

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

A new strategy for enteral nutrition using a deflection flexible visual gastric tube

Feng²,

Wan³

et al. 2018

Medicine

View full text Add to dashboard Cite

show abstract

“…The routine way for NGT insertion is the blind technique with the patient's neck in neutral position and a lateral neck pressure head flexion. There are several methods which help the insertion of NGT, including reverse Sellick's maneuver, frozen NGT, with use of endoscope or forceps, stylet, split endotracheal tube and angiography catheter/esophageal guidewire assisted techniques [3,[8][9][10][11]. (The list of mentioned methods is fully shown in Appendix Table 4.)…”

Section: Introductionmentioning

confidence: 99%

A comparison of nasogastric tube insertion by SORT maneuver (sniffing position, NGT orientation, contralateral rotation, and twisting movement) versus neck flexion lateral pressure in critically ill patients admitted to ICU: a prospective randomized clinical trial

Sanaie

Mirzalou

Shadvar

et al. 2020

Ann. Intensive Care

Self Cite

View full text Add to dashboard Cite

Background: Although many techniques have been introduced to facilitate nasogastric tube (NGT) insertion using anatomic landmarks and a group of devices, there is a lack of general consensus regarding a standard method. The current study purposed to investigate if SORT maneuver (sniffing position, NGT orientation, contralateral rotation, and twisting movement) increases the success rate of NGT correct placement versus neck flexion lateral pressure (NFLP) method. Methods: A randomized controlled trial study was conducted in two university affiliated intensive care units (tertiary referral center). Three hundred and ninety-six critically ill patients older than 18 years of age were randomly divided into SORT (n = 200) and NFLP (n = 196) groups. The technique was classified as "failed" after the third unsuccessful attempt. Patient characteristics, success rate for the first attempt, time required for the successful first attempt and overall successful insertion time, various complications including kinking, coiling and bleeding and ease of insertion were noted as main outcomes measured. Results: Ease of insertion was significantly better in the SORT group compared to the NFLP group (P < 0.001). The number of failed attempts was significantly higher in the NFLP group (7.5%) vs the SORT group (3.0%) (P = 0.046). The pattern of complications was not different between two study groups (P = 0.242). The odds of stage II (odds ratio (OR) = 49.9; 95% confidence interval (CI) 25.2 to 98.6), stage III (OR = 67.1; 95% CI 14.9 to 302.8)) and stage IV (OR = 11.8; 95% CI 3.4 to 41.2) ease of insertion were much higher in NFLP compared to SORT group, after adjusting for age and body mass index (BMI). The odds of failure was not significantly different in NFLP group compared to SORT group (OR = 2.3; 95% CI 0.85 to 6.3), after adjusting for age and BMI.

show abstract

“…Nasogastric tubes still remain the easiest and the best way for gastrointestinal tract access [1]. There are various indications for the insertion of a nasogastric tube in anaesthetized and critically ill patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison between Gastric Babble Sound and Chest X-Ray for Positioning in Nasogastric Tube Insertion on General Anesthesia for Oral and Maxillofacial Patients

Mizuhashi¹,

Saegusa²,

Ogura³

et al. 2020

JDOA

View full text Add to dashboard Cite

Objective: This study aimed to compare gastric babble sound with chest X-ray for positioning in nasogastric tube insertion on general anesthesia for oral and maxillofacial patients. Methods: Fifty-six oral and maxillofacial patients with nasogastric tube on general anesthesia were included in this study. Length of nasogastric tube using gastric babble sound for positioning in nasogastric tube insertion on general anesthesia were compared with those using chest X-ray after general anesthesia. Furthermore, we evaluated the relationship between height, weight, Body Mass Index (BMI) and length of nasogastric tube using Pearson’s correlation test. A P value lower than 0.05 was considered as statistically significant. Results: The incidences of adjustment after chest X-ray were 39.3 % (22/56 cases). Regarding cases of the adjustment after chest X-ray, over tube length cases was 90.9 % (20/22 cases, over length: 5.3 ± 1.8 cm) and under tube length cases was 9.1 % (2/22 cases, under length: -10 ± 0.0 cm). Furthermore, Height correlated with length of nasogastric tube using gastric babble sound for positioning in nasogastric tube insertion on general anesthesia (R = 0.505; p = 0.000) and length after adjustment using chest X-ray (R = 0.494; p = 0.000). Conclusions: The chest X-ray seems to be useful for positioning in nasogastric tube insertion on general anesthesia for oral and maxillofacial patients.

show abstract

Nasogastric tube insertion in anaesthetized patients: a comprehensive review

Cited by 28 publications

References 84 publications

A new strategy for enteral nutrition using a deflection flexible visual gastric tube

A new strategy for enteral nutrition using a deflection flexible visual gastric tube

A comparison of nasogastric tube insertion by SORT maneuver (sniffing position, NGT orientation, contralateral rotation, and twisting movement) versus neck flexion lateral pressure in critically ill patients admitted to ICU: a prospective randomized clinical trial

Comparison between Gastric Babble Sound and Chest X-Ray for Positioning in Nasogastric Tube Insertion on General Anesthesia for Oral and Maxillofacial Patients

Contact Info

Product

Resources

About