A randomized clinical trial of nasogastric tube insertion in intubated patient: Comparison between finger method and reverse sellick maneuver

Rahendra, Aida Rosita Tantri, Liliana Mangkuwerdojo

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND Finger method is a new simple technique of nasogastric tube (NGT) insertion for intubated patients which only requires the practitioner’s own fingers. This study was aimed to compare the feasibility of finger method and the standard reverse Sellick maneuver in NGT insertion for intubated patients METHODS This was a single-blinded, randomized clinical trial that included 210 patients aged 18–65 years old who were intubated under general anesthesia and needed NGT insertion. Initially, subjects were randomly allocated by the third party into two groups: subjects who had NGT insertion with finger method and those with reverse Sellick maneuver. Success rate of NGT insertion at the first attempt, duration of the procedure, and complication rate of blood spots were all recorded. Chi-square test and Mann–Whitney analysis were used to analyze the data. RESULTS Success rate of NGT insertion at the first attempt in finger method group was higher in comparison with reverse Sellick maneuver group (81.6% versus 60%, respectively, p = 0.002). Likewise, the median of NGT insertion duration was longer in finger group compared to reverse Sellick maneuver group (13 sec versus 12 sec, respectively, p < 0.001) but it was not clinically significant. Moreover, the complication rate of blood spots found during the procedure was lower in subjects with finger method than with reverse Sellick maneuver (10.7% versus 28%, respectively, p = 0.003). CONCLUSIONS Using finger method was more feasible than reverse Sellick maneuvers in NGT insertion.

Original languageEnglish
Pages (from-to)311-315
Number of pages5
JournalMedical Journal of Indonesia
Volume28
Issue number4
DOIs
Publication statusPublished - Dec 2019

Keywords

  • Finger
  • Nasogastric
  • Reverse Sellick

Fingerprint Dive into the research topics of 'A randomized clinical trial of nasogastric tube insertion in intubated patient: Comparison between finger method and reverse sellick maneuver'. Together they form a unique fingerprint.

Cite this