The GlideScope Facilitates Nasogastric Tube Insertion: a Randomized Clinical Trial

Overview

Journal Anesth Analg

Specialty Anesthesiology

Date 2009 Oct 29

PMID 19861362

Citations 23

Authors

Reza Shariat Moharari

Amir Houshang Fallah

Mohammad Reza Khajavi

Patricia Khashayar

Maziar Moradi Lakeh

Atabak Najafi

Affiliations

Soon will be listed here.

Abstract

Background: The GlideScope (Saturn Biomedical Systems, B.C., Canada) is a reusable videolaryngoscope and is considered an effective device for tracheal intubation. We designed this study to evaluate the application of this device in nasogastric tube (NGT) insertion.

Methods: This randomized clinical trial was performed at a teaching hospital on 80 adult patients who required intraoperative placement of an NGT. The patients were divided into 2 groups (the control and the GlideScope group) using computerized, random allocation software. In the control group, the NGT was inserted blindly as commonly performed in operating rooms; however, in the GlideScope group, the tube was inserted with the assistance of a GlideScope. The number of attempts for NGT insertion and the time required for inserting the NGT properly along with the occurrence of possible complications were recorded.

Results: The mean intubation time in the GlideScope group was 27.7 +/- 20.7 s shorter than that in the control group. NGT insertion in the first attempt was successful in approximately 85% of the patients in the GlideScope group; in the control group, however, the tubes were inserted successfully after the first attempt in 57.5% of the patients. Complications were reported in 14 patients (35%) of the control group and 8 patients (20%) of the GlideScope group.

Conclusion: GlideScope facilitates NGT insertion and reduces the duration of the procedure.

Citing Articles

Nasogastric Tube Insertion in Intubated Patients: Comparison of Three Different Positions; Standard Sniffing Position, Additional Flexion of the Neck, and Standard Sniffing Position with Lateral Neck Pressure.

Mohanan S, Gupta M, Dabas M Turk J Anaesthesiol Reanim. 2023; 51(4):318-323.

PMID: 37587674 PMC: 10440490. DOI: 10.4274/TJAR.2023.221133.

Comparison of different methods of nasogastric tube insertion in anesthetized and intubated patients: A meta-analysis.

Ou G, Li H, Shao B, Huang L, Chen G, Li W World J Clin Cases. 2021; 9(26):7772-7785.

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Huo B, MacNevin W, Smyth M, Miller S Cureus. 2021; 12(12):e12374.

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Comparison of GlideScope™ visualization and neck flexion with lateral neck pressure nasogastric tube insertion techniques in anesthetized patients: a randomized clinical study.

Purngpipattrakul P, Petsakul S, Chatmonkolchart S, Nuanjun K, Boonchuduang S Trials. 2020; 21(1):990.

PMID: 33256794 PMC: 7706009. DOI: 10.1186/s13063-020-04911-0.

A preinstalled nasopharyngeal airway in the right nasal passageway to facilitate nasogastric intubation in anesthetized and intubated patients: a prospective randomized controlled trial.

Huang T, Lin J, Chung Y BMC Gastroenterol. 2020; 20(1):365.

PMID: 33143639 PMC: 7641853. DOI: 10.1186/s12876-020-01514-6.