A prospective randomised comparison of nasogastric tube insertion of two different techniques in anesthetised intubated patients
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 2
Abstract
Background: Nasogastric tube (NGT) insertion is indicated almost routine procedure in patients undergoing below diaphragmatic surgery to decompress the stomach perioperatively. Insertion of NG Tin an naesthetised, intubated patients with conventional method sometimes maybe cumbersome. Different techniques of NGT insertion were tried with varying degree of success. Method: Sixty patients under general anesthesia and NGT insertion were studied. The patients were randomized into two groups: Head in Neutral position and reverse Sellick manoeuvre. The starting point of the procedure was the time when NGT insertion was begun through the selected nostril. If failed second attempt was tried with external laryngeal manipulation. The end point was the time when there was either a successful insertion of the NGT or a failure after two attempts. The success rate of the technique, duration of insertion procedure and the complications (bleeding, kinking, coiling etc.) were noted. Results: In neutral position first attempt success rate of insertion was 20% and increased to 90% with external laryngeal manipulation. In reverse Sellick manoeuvre group first attempt success rate was 46.7% which increased to 90% with external laryngeal manipulation. First attempt success rate was significantly higher (p<0.05) inreverse Sellick manoeuvre. Conclusion: NGT insertion is easier when NGT is inserted with reverse Sellick manoeuvre. External laryngeal manipulation makes NGT insertion easier.
Authors and Affiliations
Ajay Basarigidad, Shivareddi Bhandi
Keywords
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- EP ID EP415317
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