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Набор скоро начнётся NCT06982495

Comparing Two Methods to Measure Nasogastric Tube Length

Без фазы С лечением Intubation, Nasogastric Intubation Intraesophageal Intubation Depth Intubation Times

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: NCKU-NG system, Conventional blind insertion.
Кому может быть актуально
Состояния в реестре: Intubation, Nasogastric, Intubation Intraesophageal, Intubation Depth, Intubation Times. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Список центров уточняется — проверьте первичный протокол.
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Comparing Two Methods for Estimating Nasogastric Tube Length: A Randomized Control Study

Обзор

The goal of this clinical trial is to learn if using a novel nasogastric tube assisted placement system (NCKU-NG system) can more accurately place the nasogastric tube at the optimal position in the stomach compared to conventional blind insertion techniques in adult inpatients requiring nasogastric tube placement. The main questions it aims to answer are: * Does the NCKU-NG system improve the accuracy of nasogastric tube placement at the optimal gastric position compared to standard blind insertion? * Does the NCKU-NG system reduce the rate of misplacement (such as entry into the airway or inadequate gastric depth), number of repeated attempts, and complication rate compared to the conventional method? * Can estimation of nasogastric tube length using the NCKU-NG system provide a more reliable reference than external measurement or X-ray? Researchers will compare patients randomized to nasogastric tube insertion with the NCKU-NG system (intervention arm) versus conventional blind insertion following standard external measurement methods (control arm) to see if the NCKU-NG system improves placement accuracy and reduces adverse events. Participants will: * Be randomized to one of two groups: * Intervention group: Receive nasogastric tube insertion using the NCKU-NG system (video-assisted real-time visualization, with active confirmation of passage through the esophagogastric junction and final position in the stomach based on sidehole location). * Control group: Receive traditional nasogastric tube blind bedside insertion based on standard measurement (eg. Nose-Earlobe-Xiphoid + 10 cm). * All procedures will use the same material nasogastric tube (16 French polyurethane radiopaque tube). * Undergo confirmation of tube position by X-ray within 8 hours post-insertion for both groups. * Have the following outcomes assessed: * Placement accuracy (percentage of tubes placed at optimal predefined gastric position) * Number of placement attempts and failures * Rate of inadvertent airway or inadequate placement * Incidence of complications (e.g., aspiration, pneumothorax, gastrointestinal tract injury) * Correlation between video-assisted measurement and X-ray estimation of intragastric length

Вмешательства

  • Устройство NCKU-NG system
    Nasogastric tube insertion with a novel nasogastric tube assisted placement system (NCKU-NG system)
  • Другое Conventional blind insertion
    Conventional blind insertion following standard external measurement methods (eg. Nose-Earlobe-Xiphoid + 10 cm)

Первичные конечные точки

  • Placement accuracy [Срок оценки: Within 8 hours after the completion of a nasogastric tube insertion; that is, after the X-ray was taken]
Вторичные конечные точки (5)
  • First-attempt success rate [Срок оценки: The moment after the completion of an nasogastric tube insertion]
  • Number of placement attempts [Срок оценки: The moment after the completion of an nasogastric tube insertion]
  • Insertion time [Срок оценки: The moment after the completion of an nasogastric tube insertion]
  • Incidence of complications [Срок оценки: A week after the completion of an nasogastric tube insertion]
  • Correlation between video-assisted measurement and X-ray estimation of intragastric length [Срок оценки: Within 8 hours after the completion of an nasogastric tube insertion]

Критерии участия

Критерии включения

  • Adults (aged ≥18 years)
  • Patients requiring nasogastric tube placement
  • Patients who are hospitalized

Критерии исключения

  • Patients with a chest wound that prevents palpation of the xiphoid process
  • Patients who have had a gastrectomy
  • Patients with a gastric tumor
  • Patients with a head and neck tumor
  • Patients who are agitated and difficult to place the nasogastric tube
  • Patients with abnormal esophageal structure
  • Patients with a basilar skull fracture
  • Patients with acute upper gastrointestinal bleeding
  • Patients with an expected lifespan of less than 48 hours
  • Patients who cannot undergo an X-ray confirmation (e.g., pregnant women)
  • Patients with unstable blood pressure (mean arterial pressure < 65 mmHg)
  • Patients with ischemic, perforated, or obstructed bowel
  • Patients with high-output fistula/ostomy
  • Patients using photosensitive drugs
  • Critically ill patients
  • Patients with acute needs as determined by the attending physician
  • Patients with a Glasgow Coma Scale score < 8

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Тройное слепое
Основная цель
Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT06982495 · A-BR-113-021

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗