The Insertion of a Nasogastric Tube with a Nasopharyngeal Airway.
10.4097/kjae.2006.50.2.127
- Author:
Yong Shin KIM
1
;
Yeon Su JEON
;
Jang Hyeok IN
;
Jin Woo CHOI
;
Jin Deok JOO
;
Mi Yeon HWANG
Author Information
1. Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. aneskim@catholic.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
nasogastric tube;
nasopharyngeal airway
- MeSH:
Epistaxis;
Humans;
Laryngoscopy;
Nasopharynx;
Pharynx;
Surgical Instruments
- From:Korean Journal of Anesthesiology
2006;50(2):127-131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The insertion of a nasogastric tube can be difficult in an anesthetized patient who has a cuffed endotracheal tube in place. The placement of a silastic nasogastric (NG) tube can lead to nasal bleeding or a submucosal dissection in the posterior pharynx. The aim of this study was to determine if the insertion of a nasogastric tube with a nasophryngeal airway can be made easy. METHODS: Sixty patients were randomly assigned to one of two groups; Group 1 and Group 2. For Group 1, a nasogastric tube was inserted first. If this method was not successful with two consecutive attempts, then a nasogastric tube with a nasopharyngeal airway was inserted and if unsuccessful again with two attempts, then Magill forceps were used under laryngoscopy. For Group 2, a nasogastric tube with a nasopharyngeal airway was inserted first. If this method was not successful with two consecutive attempts, then a nasogastric tube was inserted and if unsuccessful again with two attempts, then Magill forceps were used under laryngoscopy. RESULTS: The success rate of the 1st pass in Group 2 was significantly higher than in Group 1 (P < 0.05). The success rate with the 1st intended method in Group 2 was significantly higher than in Group 1 (P < 0.05). The rate of using Magill forceps was not significantly different between the two groups. CONCLUSIONS: The insertion of a nasogastric tube with a nasopharyngeal airway in anesthetized and intubated patients is effective in increasing success rate of insertion. Nasopharyngeal airway traverses the nasopharynx atraumatically and serves as a conduit for the smaller nasogastric tube.
