Comparison of Digital (Two-finger) and Video Laryngoscopy Methods during Nasogastric Tube Insertion in Intubated Patients Digital (Two-finger) and Video Laryngoscopy Methods during NGT Insertion
Archives of Academic Emergency Medicine,
Vol. 9 No. 1 (2021),
1 January 2021
,
Page e55
https://doi.org/10.22037/aaem.v9i1.1281
Abstract
Background: Performing Nasogastric Tube (NGT) insertion is very challenging in anesthetized and intubated patients and a conclusive method has not yet been presented in this regard. Hence, the current study aimed at comparing Digital (two-finger) and Video Laryngoscopy methods during NGT insertion.
Materials and Methods: The present clinical trial was performed on 76 intubated patients that were randomly divided into two groups. Groups A and B underwent Video Laryngoscopy and Digital (two-finger) methods, respectively. Then, the success rate, the number of attempts to insert NGT, duration of insertion, hemodynamic parameters, and patients’ satisfaction level were recorded and examined in this study.
Results: The results of the study revealed that the duration of NGT insertion in group A with a mean of 19.07±2.07 seconds was significantly higher than that of group B with a mean of 11.53±2.16 seconds (P-value <0.001). Furthermore, the success rate was higher in group B as compared with group A (94.7% vs. 78.9%; P-value <0.05). Considering the interfering factors such as patients’ BMI, the chance of success in group B was reported to be 8.49 times higher than that of group A (P-value <0.05).
Conclusion: Given the high success rate of NGT insertion and the speed of performing this process in the Digital method compared to Video Laryngoscopy method, the Digital method can be regarded as a safe and appropriate method. Hence, Digital method can be used in medical centers due to its ease of implementation, practicality, availability, and lack of need for advanced and expensive devices. However, application and integration of new methods with conventional ones can yield a more desirable output with a very high success rate.
- Digital Laryngoscopy, Nasogastric Tube (NGT), Video Laryngoscopy
How to Cite
References
Isfahani MN, Heydari F, Azizollahi A, Noorshargh P. Comparison of Three Methods for NG Tube Placement in Intubated Patients in the Emergency Department. Advanced Journal of Emergency Medicine. 2020; 5(1): e6.
Mandal MC, Dolai S, Ghosh S, Mistri PK, Roy R, Basu SR, et al. Comparison of four techniques of nasogastric tube insertion in anaesthetised, intubated patients: A randomized controlled trial. 2014;58(6):714.
Mandal M, Karmakar A, Basu SRJIjoa. Nasogastric tube insertion in anaesthetised, intubated adult patients: A comparison between three techniques. 2018;62(8):609.
Roberts JR. Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care E-Book: Elsevier Health Sciences; 2017.
Ghatak T, Samanta S, Baronia AKJNAjoms. A new technique to insert nasogastric tube in an unconscious intubated patient. 2013;5(1):68.
Appukutty J, Shroff PPJA, Analgesia. Nasogastric tube insertion using different techniques in anesthetized patients: a prospective, randomized study. 2009;109(3):832-5.
Alcalde HM, Martínez JB, Rubio AMJTiA, Care C. Digital intubation: Never blind anymore. 2016;6:28-31.
Jaber S, De Jong A, Pelosi P, Cabrini L, Reignier J, Lascarrou JBJCC. Videolaryngoscopy in critically ill patients. 2019;23(1):221.
Chun D-H, Kim NY, Shin Y-S, Kim SHJWjos. A randomized, clinical trial of frozen versus standard nasogastric tube placement. 2009;33(9):1789-92.
Fakhari S, Bilehjani I, Negargar S, MIRINEZHAD M, Azarfarin R. Split endotracheal tube as a guide tube for gastric tube insertion in anesthetized patients: A randomized clinical trial. 2009.
Tantri AR, Mangkuwerdojo LJMJoI. A randomized clinical trial of nasogastric tube insertion in intubated patient: comparison between finger method and reverse Sellick maneuver. 2019;28(4):311-5.
Fassoulaki A, Athanassiou E. Cardiovascular responses to the insertion of nasogastric tubes during general anaesthesia. Canadian Anaesthetists’ Society Journal. 1985;32(6):651.
Liao C-C, Liu F-C, Li AH, Yu H-PJEromd. Video laryngoscopy-assisted tracheal intubation in airway management. 2018;15(4):265-75.
Cavus E, Thee C, Moeller T, Kieckhaefer J, Doerges V, Wagner KJBa. A randomised, controlled crossover comparison of the C-MAC videolaryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia. 2011;11(1):6.
- Abstract Viewed: 805 times
- pdf Downloaded: 193 times
