Nasogastric tube insertion in intubated patients with the guide of wire rope: A prospective randomised controlled study

Sharifnia, Hamidreza; Jahangiri, Sharareh; Majidi, Fazeleh; Moharari, Reza Shariat; Shahmirzaei, Shaghayegh; Khajavi, Mohammad Reza

doi:10.1111/ijcp.14508

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…In intubated or obese patients, insertion of NGT using a wire rope could be beneficial. Sharifnia et al [ 16 ] studied the use of a wire rope guide with chin lift compared to a control group with head flexion as techniques for the insertion of NGTs. They found that there was significantly higher first attempt success in the rope wire guide group for correct positioning.…”

Section: Ngt Insertionmentioning

confidence: 99%

Evolving Therapeutic Roles of Nasogastric Tubes: Current Concepts in Clinical Practice

et al. 2023

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Nasogastric tubes (NGT) have been in use for over 100 years and are still considered as essential and resuscitative tools in multiple medical specialties for acute and chronic care. They are vital for decompression of the stomach in the presence of bowel obstruction in the critically ill and useful as a conduit for the administration of medications and sometimes for short term parenteral nutrition. The placement of nasogastric tubes is relatively routine. However, they must be inserted and maintained safely and effectively to avoid serious and possibly even fatal associated complications. This review focuses on recent updates in research regarding nasogastric tubes. Cognizance of the recent advances in indications, contraindications, techniques of insertion, confirmation of correct positioning, securement, complications, management of complications, and state of the art research about the nasogastric tube is crucial for practitioners of all medical and surgical specialties.

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Section: Ngt Insertionmentioning

confidence: 99%

Evolving Therapeutic Roles of Nasogastric Tubes: Current Concepts in Clinical Practice

et al. 2023

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“…Simple maneuvers such as additional flexion of the neck, 5 lateral neck pressure, 4 and reverse Sellick’s maneuver 3 were used by several authors for increasing the success rate of NGT insertion. Studies using instruments such as forceps, angiography catheters, 6 and wire rope 7 as stylets, and the use of video laryngoscopes such as C-Mac 8 resulted in success rate, but with complications.…”

Section: Introductionmentioning

confidence: 99%

Nasogastric Tube Insertion in Intubated Patients: Comparison of Three Different Positions; Standard Sniffing Position, Additional Flexion of the Neck, and Standard Sniffing Position with Lateral Neck Pressure

Mohanan,

Gupta,

Dabas

2023

TJAR

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Objective: Our study aimed to evaluate two modified nasogastric tube (NGT) insertion techniques in intubated patients compared to the conventional method in respect of first attempt success rate, time taken for insertion, and complications. Methods: In this prospective interventional study, patients with orotracheal intubation requiring NGT insertion were randomly allocated into three groups by SNOS Group A (control group- standard sniffing position, n = 40), Group B (additional flexion of the neck, n = 40), Group C (standard sniffing position with lateral neck pressure, n = 40). The number of attempts for successful NGT insertion, time for insertion, and complications were compared. Results: Modified positions showed a high first-attempt success rate in Group B (55%) and Group C (85%) as compared to conventional Group A (32.50%) ( P < 0.001). On intergroup analysis of modified groups (B and C), Group C was superior to Group B in 1 st attempt success rate with a significant P value of 0.003. Conclusion: In intubated patients, NGT insertion in standard sniffing position with lateral neck pressure has the highest first attempt success rate followed by additional flexion of neck position. Both the modified positions are better positions for NGT insertion in intubated patients.

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Nasogastric tube insertion in intubated patients with the guide of wire rope: A prospective randomised controlled study

Cited by 2 publications

References 15 publications

Evolving Therapeutic Roles of Nasogastric Tubes: Current Concepts in Clinical Practice

Evolving Therapeutic Roles of Nasogastric Tubes: Current Concepts in Clinical Practice

Nasogastric Tube Insertion in Intubated Patients: Comparison of Three Different Positions; Standard Sniffing Position, Additional Flexion of the Neck, and Standard Sniffing Position with Lateral Neck Pressure

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