Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients

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DOI:

https://doi.org/10.71152/ajms.v16i5.4518

Keywords:

Anesthetized; Blind method; Intubation; Nasogastric tube; Videolaryngoscope

Abstract

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.

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Published

2025-05-01

How to Cite

Aich, R., Bhattacharyya, C., Mandal, S., Das, S. S., Rahman, S., & Mohanchandra Mandal. (2025). Comparison between Tuoren video laryngoscope-guided technique and blind method for nasogastric tube placement in anesthetized, intubated, adult patients. Asian Journal of Medical Sciences, 16(5), 1–8. https://doi.org/10.71152/ajms.v16i5.4518

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Original Articles

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