Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients
Background: Nasogastric tube (NGT) insertion is apparent a simple procedure in conscious individual. However, it often turns to a challenging task in anesthetized, intubated patients with a failure rate of about 50% using blind method. Video laryngoscope (VL), an important armamentarium of difficult...
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Manipal College of Medical Sciences, Pokhara
2025-05-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4518 |
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| author | Rimpi Aich Chiranjib Bhattacharyya Sangita Mandal Subha Sankar Das Safraaz Rahman Mohanchandra Mandal |
| author_facet | Rimpi Aich Chiranjib Bhattacharyya Sangita Mandal Subha Sankar Das Safraaz Rahman Mohanchandra Mandal |
| author_sort | Rimpi Aich |
| collection | DOAJ |
| description | Background: Nasogastric tube (NGT) insertion is apparent a simple procedure in conscious individual. However, it often turns to a challenging task in anesthetized, intubated patients with a failure rate of about 50% using blind method. Video laryngoscope (VL), an important armamentarium of difficult airway carts, can facilitate the placement of NGT owing to its advantage of real-time visualization of NGT and the necessary manipulation.
Aims and Objectives: The study was designed to compare the Tuoren VL-guided technique with the blind method in terms of procedure time, success rate, and adverse events.
Materials and Methods: A total of 148 adult patients requiring intraoperative NGT placements were recruited for this randomized, single-blind, experimental study. After anesthetizing, the patients were randomized to receive NGT placement using either Tuoren VL-guided (Group A, n=74) or “Blind technique” (Group B, n=74). Confirmation of correct placement of NGT was done using “auscultation” method.
Results: VL-guided method was consistently faster, and considerable faster procedure time was achieved using VL-guided method over blind technique (36.8±14.7 vs. 48.2±21.7 s, respectively, P<0.001), yielding a mean reduction of procedure time by approximately 12 s. A high success rate of correct placement of NGT was observed using VL-guided technique over blind insertion (100% vs. 55%, respectively). Overall, less adverse events (bleeding and coiling) were observed in VL-guided method.
Conclusion: The study concludes that Tuoren VL can act as a better alternative to blind method for NGT placement in anesthetized, intubated patient in view of shorter procedure time, higher success rate, and favorable adverse event profile. |
| format | Article |
| id | doaj-art-2c37eedbcec1444f83ada314035c5c8b |
| institution | Kabale University |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-2c37eedbcec1444f83ada314035c5c8b2025-08-20T03:52:03ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-05-0116518https://doi.org/10.71152/ajms.v16i5.4518Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patientsRimpi Aich 0https://orcid.org/0009-0006-1936-6637Chiranjib Bhattacharyya 1https://orcid.org/0000-0003-2879-4933Sangita Mandal 2https://orcid.org/0000-0002-3416-9344Subha Sankar Das 3https://orcid.org/0009-0005-8775-2030Safraaz Rahman 4https://orcid.org/0000-0001-6641-276XMohanchandra Mandal 5https://orcid.org/0000-0003-4183-993XPostgraduate Resident, Department of Anesthesiology, IPGME&R and SSKM Hospital, Kolkata, West Bengal, India Associate Professor, Department of Anesthesiology, IPGME&R and SSKM Hospital, Kolkata, West Bengal, India Assistant Professor, Department of Anesthesiology, IPGME&R and SSKM Hospital, Kolkata, West Bengal, India Senior Resident, Department of Anesthesiology, IPGME&R and SSKM Hospital, Kolkata, West Bengal, India Senior Resident, Department of Anesthesiology, Barasat Government Medical College, Kolkata, West Bengal, India Professor, Department of Anesthesiology, IPGME&R and SSKM Hospital, Kolkata, West Bengal, India Background: Nasogastric tube (NGT) insertion is apparent a simple procedure in conscious individual. However, it often turns to a challenging task in anesthetized, intubated patients with a failure rate of about 50% using blind method. Video laryngoscope (VL), an important armamentarium of difficult airway carts, can facilitate the placement of NGT owing to its advantage of real-time visualization of NGT and the necessary manipulation. Aims and Objectives: The study was designed to compare the Tuoren VL-guided technique with the blind method in terms of procedure time, success rate, and adverse events. Materials and Methods: A total of 148 adult patients requiring intraoperative NGT placements were recruited for this randomized, single-blind, experimental study. After anesthetizing, the patients were randomized to receive NGT placement using either Tuoren VL-guided (Group A, n=74) or “Blind technique” (Group B, n=74). Confirmation of correct placement of NGT was done using “auscultation” method. Results: VL-guided method was consistently faster, and considerable faster procedure time was achieved using VL-guided method over blind technique (36.8±14.7 vs. 48.2±21.7 s, respectively, P<0.001), yielding a mean reduction of procedure time by approximately 12 s. A high success rate of correct placement of NGT was observed using VL-guided technique over blind insertion (100% vs. 55%, respectively). Overall, less adverse events (bleeding and coiling) were observed in VL-guided method. Conclusion: The study concludes that Tuoren VL can act as a better alternative to blind method for NGT placement in anesthetized, intubated patient in view of shorter procedure time, higher success rate, and favorable adverse event profile.https://ajmsjournal.info/index.php/AJMS/article/view/4518anesthetized; blind method; intubation; nasogastric tube; videolaryngoscope |
| spellingShingle | Rimpi Aich Chiranjib Bhattacharyya Sangita Mandal Subha Sankar Das Safraaz Rahman Mohanchandra Mandal Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients Asian Journal of Medical Sciences anesthetized; blind method; intubation; nasogastric tube; videolaryngoscope |
| title | Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients |
| title_full | Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients |
| title_fullStr | Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients |
| title_full_unstemmed | Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients |
| title_short | Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients |
| title_sort | comparison between tuoren video laryngoscope guided technique and blind method for nasogastric tube placement in anesthetized intubated adult patients |
| topic | anesthetized; blind method; intubation; nasogastric tube; videolaryngoscope |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4518 |
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