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Logo of bmcgastBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Gastroenterology
BMC Gastroenterol. 2012; 12: 99.
Published online Aug 1, 2012. doi:  10.1186/1471-230X-12-99
PMCID: PMC3444911
Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method
Yung-Fong Tsai,1,2,3 Chiao-Fen Luo,1 Amina Illias,1 Chih-Chung Lin,1,2 and Huang-Ping Yucorresponding author1,2
1Department of Anesthesiology, Chang Gung Memorial Hospital, 5 Fu-Shin Street, Kwei-Shan, Tao-Yuan, Taiwan, 333, R.O.C
2College of Medicine, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan, 333, R.O.C
3Graduate Institute of Clinical Medical Sciences, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan, 333, R.O.C
corresponding authorCorresponding author.
Yung-Fong Tsai: l12084/at/; Chiao-Fen Luo: fulzp/at/; Amina Illias: m8046/at/; Chih-Chung Lin: chihchung/at/; Huang-Ping Yu: yuhp2001/at/
Received April 11, 2012; Accepted July 24, 2012.
The “Rusch” intubation stylet is used to make endotracheal tube intubation easy. We designed this study to evaluate the usage of this equipment in the guidance of nasogastric tube (NGT) insertion.
A total of 103 patients, aged 23 to 70 years, undergoing gastrointestinal or hepatic surgeries that required intraoperative NGT insertions were enrolled into our study. The patients were randomly allocated to the control group (Group C) or the stylet group (Group S) according to a computerized, random allocation software program. In the control group, the NGT was inserted with the patient’s head in an intubating position. In the stylet group, the NGT was inserted with the assistance of a “Rusch” intubation stylet tied together at the tips by a slipknot. The success rates of the two methods, the durations of the insertions, and the occurrences of complications were recorded. All of the failed cases in the control group were subjected to the new technique used in the stylet group, and the successful rescue rate was also evaluated.
Successful insertions were recorded for 52/53 patients (98.1%) in Group S and for 32/50 patients (64%) in Group C. The mean insertion times were 39.5 ± 19.5 seconds in Group C and 40.3 ± 23.2 seconds in Group S. Successful rescues of failure cases in Group C were achieved in 17/18 patients (94.4%) with the assistance of a “Rusch” intubation stylet.
The “Rusch” intubation stylet-guided method is reliable with a high success rate of NGT insertion in anesthetized and intubated patients.
Trial registration
Institutional Review Board of Chang Gung Memorial Hospital (IRB: 98-2669B) and Australian New Zealand Clinical Trials Registry (ACTRN12611000423910)
Keywords: Nasogastric tube insertion, Intubation stylet, Highwayman’s hitch, Success rate
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