Clinical trial NCT06635915: Ultrasound to Check the Position of the Nasogastric Tube
Official title: Ultrasound to Check the Adequate Position of the Nasogastric Tube to Improve Patient Management and Safety
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Nasogastric Tube Placement
Keywords: nasogastric tube placement
ultrasound
postoperative diagnosis
monitoring
Lead sponsor: Dr. Negrin University Hospital
Sponsor class: OTHER
First posted: 2024-10-10
Enrollment: 114
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Clinical trial that will include patients who have had NGT placed intraoperatively. 114 patients (57 with NGT and 57 without NGT) will be examined by ultrasound in the immediate postoperative period to diagnose the normal positioning of the NGT or its absence. In patients who have had NGT placed, the normal positioning of the NGT will be verified by chest X-ray.
Primary purpose: DIAGNOSTIC

Brief summary: The main objective of this study is to evaluate whether the use of ultrasound as a method of checking the normal positioning of the NGT is reliable, without requiring other diagnostic tests. Clinical trial that will include patients who had the NGT placed intraoperatively. 114 patients (57 with NGT and 57 without NGT) will be examined by ultrasound in the immediate postoperative period to diagnose the normal positioning of the NGT or its absence.

Can ultrasound quickly and effectively diagnose the normal positioning of the NGT? Can chest X-ray be avoided by introducing ultrasound in the verification of the normal positioning of the NGT in the immediate postoperative period?

Detailed description: The nasogastric tube (NGT) is an essential element of our daily clinical practice, commonly used for the administration of enteral nutrition and medication or for gastric decompression and diagnostic procedures. Despite its common use, it is still an invasive procedure with potential complications. Ultrasound is a noninvasive, inexpensive, widely available and rapid method that can speed up the proper verification of these devices. The main objective of this study is to evaluate whether the use of ultrasound as a method of checking the normal positioning of the NGT is reliable, without requiring other diagnostic tests. Clinical trial that will include patients who had the NGT placed intraoperatively. 114 patients (57 with NGT and 57 without NGT) will be examined by ultrasound in the immediate postoperative period to diagnose the normal positioning of the NGT or its absence. Patients who have had the NGT placed will have had their NGT placed correctly by chest X-ray. The upper part of the patient will be covered for the examiner, who will only have access to the patient's abdomen and will not know which patients have NGT or not.

Eligibility criteria: Inclusion Criteria:

* Patients classified as ASA I-IV according to the American Society of Anesthesiologists
* Patients over 18 years old.
* Informed consent signed by the patient or their family representatives

Exclusion Criteria:

* Patients classified as ASA V.
* Patients under 18 years old.
* Refusal to participate in the study.
* Contraindication for nasogastric tube placement: ingestion of caustics, nasal or skull fractures, and cervical surgery.
* Patients with anatomical abnormalities at the cervical or pharyngoesophageal level.

Primary outcomes:
measure: Rate of confirmation of normoposition of the nasogastric tube
timeFrame: First postoperative hour.
Secondary outcomes:
Other outcomes:
Locations:
city: Palmas DE GRAN Canaria, LAS
country: Spain
facility: Hospital Universitario de Gran Canaria Doctor Negrín
state: Las Palmas
city: Las Palmas de Gran Canaria
country: Spain
facility: Hospital Universitario de Gran Canaria Doctor Negrín
Study officials:
References: