Mohanan Shyam, Gupta Madhu, Dabas Manisha
Department of Anaesthesiology, ESIC Hospital & Pgimsr, Basaidarapur, New Delhi, India.
Turk J Anaesthesiol Reanim. 2023 Aug 18;51(4):318-323. doi: 10.4274/TJAR.2023.221133.
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.
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.
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%) ( < 0.001). On intergroup analysis of modified groups (B and C), Group C was superior to Group B in 1 attempt success rate with a significant value of 0.003.
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.
我们的研究旨在评估与传统方法相比，两种改良鼻胃管（NGT）插入技术在插管患者中的首次尝试成功率、插入时间和并发症情况。
在这项前瞻性干预研究中，需要插入NGT的经口气管插管患者被随机分为三组，A组（对照组 - 标准嗅探位，n = 40），B组（颈部额外屈曲，n = 40），C组（标准嗅探位并施加颈部侧方压力，n = 40）。比较NGT插入成功的尝试次数、插入时间和并发症。
与传统的A组（32.50%）相比，改良体位在B组（55%）和C组（85%）显示出较高的首次尝试成功率（<0.001）。在改良组（B组和C组）的组间分析中，C组在首次尝试成功率方面优于B组，显著值为0.003。
在插管患者中，标准嗅探位并施加颈部侧方压力进行NGT插入的首次尝试成功率最高，其次是颈部额外屈曲位。这两种改良体位对于插管患者插入NGT都是更好的体位。
