scholarly journals Comparison of Using Cold Versus Regular Temperature Tube on Successful Nasogastric Intubation for Patients in Toxicology Emergency Department: a Randomized Clinical Trial

2020 ◽  
Vol 9 (1) ◽  
pp. 21-25
Author(s):  
Seyed Reza Mazlom ◽  
Ali Asghar Firouzian ◽  
Heji Mohamad Norozi ◽  
Alireza Ghasemi Tousi ◽  
Mahmoud Marhamati
Keyword(s):  
Clinical Trial ◽  
Emergency Department ◽  
Nasogastric Tube ◽  
Intervention Group ◽  
Control Group ◽  
Random Allocation ◽  
Tube Insertion ◽  
Nasogastric Intubation ◽  
Gastric Tubes ◽  
Nasogastric Tube Insertion

Introduction: In view of the contradictory results for the use of cold tubes for the purpose of enhancing nasogastric tube insertion success there is a pressing need for further research in this area. This study aimed to determine the effect of using cold versus regular temperature nasogastric tube on successful nasogastric tube insertion for patients referring to toxicology emergency department. Methods: This study is a clinical trial with two groups design of 65 patients admitted to toxicology emergency department who were divided into two groups by random allocation. Nasogastric tubes used in the intervention group had been stored in a refrigerator at 2°-8° C while the ones employed in the control group had been maintained at the room temperature of 22-28° C. Nasogastric tube insertions in both groups were done by the investigator according to standard methods. The data were analyzed using SPSS ver. 13. Results: The placement of nasogastric tube was done in the first attempt with 27 (%84.4) of the subjects in the control group and 33 (%100.0) in the intervention group. The chi-square test results showed that the frequency of the number of attempts for gastric intubation in subjects between the two groups was statistically significant. Conclusion: Cooling gastric tubes reduces the time required for nasogastric intubation. Thus, it is suggested that the gastric tubes be cooled before the application of the procedure so as to reduce complications, increase patient comfort and save nurses time.

Effects of a diuretic adjustment algorithm protocol on heart failure admissions: A randomized clinical trial

2021 ◽  
pp. 1357633X2110096
Author(s):  
Maria KEF Feijó ◽  
Karen Brasil Ruschel ◽  
Daniela Bernardes ◽  
Eduarda B Ferro ◽  
Luis E Rohde ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Emergency Department ◽  
Randomized Clinical Trial ◽  
Intervention Group ◽  
Heart Association ◽  
Functional Class ◽  
Emergency Department Visits ◽  
Control Group ◽  
Point Change ◽  
Clinical Instability

Introduction The aim of this study was to evaluate the effectiveness of a diuretic adjustment algorithm (DAA) in maintaining clinical stability and reducing HF readmissions using telemonitoring Technologies. Methods Randomized clinical trial of patients with an indication for furosemide dose adjustment during routine outpatient visits. In the intervention group (IG), the diuretic dose was adjusted according to the DAA and the patients received telephone calls for 30 days. In the control group (CG), the diuretic dose was adjusted by a physician at baseline only. Co-primary outcomes were hospital readmission and/or emergency department visits due to decompensated HF within 90 days, and a 2-point change in the Clinical Congestion Score and/or a deterioration in New York Heart Association functional class within 30 days. Results A total of 206 patients were included. Most patients were male ( n=119; 58%), with a mean age of 62 (SD 13) years. Four patients (2%) in the IG and 14 (7%) in the CG were hospitalized for HF (odds ratio (OR) 0.31 (0.10–0.91); p=0.04). Multivariate analysis showed a reduction of 67% in readmissions and/or emergency department visits due to decompensated HF in the IG compared with the CG (95% CI 0.13–0.88; p=0.027). Regarding the combined outcome of HF readmission and/or emergency department visits or clinical instability, the IG had 20% fewer events than the CG within 30 days (IG: n=48 (23%), CG: n=70 (34%); OR 0.80 (0.63–0.93); p=0.03). Discussion Using DAA improved the combined outcome in these outpatients, with favorable and significant results that included a reduction in HF admissions and in clinical instability. (NCT02068937)

scholarly journals Effect of oral midazolam in pain relief of patients need nasogastric tube insertion: A clinical trial study

2020 ◽  
Vol 9 (2) ◽  
pp. 112
Author(s):  
Ala Rastin ◽  
AsgharJafari Rouhi ◽  
Alireza Zeraatchi ◽  
Farzad Rahmani ◽  
AsgharJafari Rouhi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Pain Relief ◽  
Nasogastric Tube ◽  
Tube Insertion ◽  
Oral Midazolam ◽  
Nasogastric Tube Insertion

scholarly journals The Effect of Intravenous Magnesium Sulphate as an Adjuvant in the Treatment of Acute Exacerbations of COPD in the Emergency Department: A Double-Blind Randomized Clinical Trial

2021 ◽  
Vol 31 (2) ◽  
Author(s):  
Fatemeh Jahanian ◽  
Iraj Goli Khatir ◽  
Hamed Amini Ahidashti ◽  
Sepideh Amirifard
Keyword(s):  
Clinical Trial ◽  
Emergency Department ◽  
Magnesium Sulfate ◽  
Magnesium Sulphate ◽  
Intervention Group ◽  
Control Group ◽  
Double Blind ◽  
Intravenous Magnesium ◽  
Acute Exacerbations ◽  
And Control

BACKGROUND፡ Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are serious complications that often require immediate intervention in an emergency department (ED). The aim of this study was to investigate the effect of intravenous magnesium sulphate as an adjuvant in the treatment of AECOPD in the ED.METHODS: In a double-blind, randomized clinical trial, a total of 60 patients with AECOPD presenting to the ED of Imam Khomeini Hospital in Sari, Iran, were included. The study was conducted between September 2016 and February 2018. Eligible patients were randomly allocated into two groups of intervention and control. Patients in the intervention and control groups received intravenous infusion of magnesium sulfate (2 gr) or normal saline over 30 minutes, respectively. For all patients, Borgdyspnea score, forced expiratory volume in one second (FEV1) result and clinical variables of interest were evaluated before the beginning of the intervention, and also 45 minutes and 6 hours after the commencement of intervention.RESULTS: Regardless of time of evaluation, pulse rate (PR), respiratory rate (RR) and Borg score in intervention group was lower than control group. Also, FEV1 and SPO2 were greater in intervention group compared to control group. However, these differences were not statistically significant (between-subject differences or group effect) (p<0.001). The trends of FEV1, SPO2, PR, RR and Borg score were similar between two groups of study (no interaction effect; P>0.05).CONCLUSION: According to the results of this study, it seems that using intravenous magnesium sulfate has no significant effect on SPO2, FEV1, RR, and PR of patients with AECOPD who presented to ED.

Does Routine Midazolam Administration Prior to Nasogastric Tube Insertion in the Emergency Department Decrease Patients’ Pain? (A Pilot Study)

2016 ◽  
Vol 23 (7) ◽  
pp. 766-771 ◽  
Author(s):  
Chelsea Taylor Manning ◽  
Jacob Dillon Buinewicz ◽  
Thomas Patrick Sewatsky ◽  
Evangelia Zgonis ◽  
Kathy Gutierrez ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pilot Study ◽  
Nasogastric Tube ◽  
Tube Insertion ◽  
Nasogastric Tube Insertion

scholarly journals Modified Gastric Biopsy Forceps as a Flexible Stylet-Assisted Nasogastric Tube Insertion in Anesthetized and Intubated Patients: A Prospective Randomized Controlled Study

2021 ◽  
Vol 104 (8) ◽  
pp. 1222-1228
Keyword(s):  
Success Rate ◽  
Nasogastric Tube ◽  
Gastric Biopsy ◽  
Controlled Study ◽  
Control Group ◽  
Minor Bleeding ◽  
Biopsy Forceps ◽  
Success Rates ◽  
Tube Insertion ◽  
Nasogastric Tube Insertion

Background: Insertion of a nasogastric tube in an anesthetized intubated patient may be difficult. A nasogastric tube is prone to coil and kink during insertion. The authors hypothesized that gastric biopsy forceps could be used as a flexible stylet-assisted nasogastric tube insertion. It can improve the first-attempt success rate over the conventional blind technique during nasogastric tube insertion in the anesthetized intubated patient. Materials and Methods: Eighty adult patients who required intraoperative nasogastric tube insertions were randomized to the gastric biopsy forceps assisted technique (stylet group) or the conventional blind technique (control group) for insertion of a nasogastric tube. The success rates, the duration of insertion, the incidences of coiling and kinking of a nasogastric tube, and the occurrences of complications were recorded. Results: The first-attempt success rate was 92.5% in the stylet group compared with 65% in the control group (p=0.013). The overall success rate was higher in the stylet group (100% versus 85%, p=0.026). The mean time required to insert the nasogastric tube was shorter in the stylet group (24.85±9.62 versus 62.4±59.38 seconds, p=0.002). The incidences of coiling and kinking were lower in the stylet group (7.5% versus 32.5%, p=0.005). The incidence of minor bleeding was lower in the stylet group, but not statistically significant (2.5% versus 17.5%, p=0.057). No other complications were observed in either groups. Conclusion: The gastric biopsy forceps-assisted nasogastric tube insertion resulted in a higher success rate, less time for insertion, and lower incidence of coiling and kinking of a nasogastric tube than the conventional blind technique in anesthetized intubated patients without serious complications. Keywords: Nasogastric tube; Insertion; Stylet; Gastric biopsy forceps; Success rate

The GlideScope Facilitates Nasogastric Tube Insertion: A Randomized Clinical Trial

2010 ◽  
Vol 110 (1) ◽  
pp. 115-118 ◽  
Author(s):  
Reza Shariat Moharari ◽  
Amir Houshang Fallah ◽  
Mohammad Reza Khajavi ◽  
Patricia Khashayar ◽  
Maziar Moradi Lakeh ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Nasogastric Tube ◽  
Tube Insertion ◽  
Nasogastric Tube Insertion

scholarly journals Modified gastric biopsy forceps as a flexible stylet-assisted nasogastrictube insertion in anesthetized and intubated patients: a prospective randomized controlled study

2021 ◽  
Author(s):  
Narut Ruananukun ◽  
Amorn Vijitpavan ◽  
Chutima Simasatikul
Keyword(s):  
Success Rate ◽  
Nasogastric Tube ◽  
Gastric Biopsy ◽  
Controlled Study ◽  
Control Group ◽  
Minor Bleeding ◽  
Biopsy Forceps ◽  
Success Rates ◽  
Tube Insertion ◽  
Nasogastric Tube Insertion

Abstract Background Insertion of a nasogastric tube in an anesthetized intubated patient may be difficult. A nasogastric tube is prone to coil and kink during insertion. We hypothesize that gastric biopsy forceps can be used as a flexible stylet-assisted nasogastric tube insertion. It can improve the first-attempt success rate over the conventional blind technique during nasogastric tube insertion in the anesthetized intubated patient. Methods Eighty adult patients who required intraoperative nasogastric tube insertions were randomized to the gastric biopsy forceps assisted technique (stylet group) or the conventional blind technique (control group) for insertion of a nasogastric tube. The success rates, the duration of insertion, the incidences of coiling and kinking of a nasogastric tube, and the occurrences of complications were recorded. Results The first-attempt success rate was 92.5% in the stylet group compared with 65% in the control group (P = 0.013). The overall success rate was higher in the stylet group (100% vs 85%; P = 0.026). The mean time required to insert the nasogastric tube was shorter in the stylet group (24.85 ± 9.62 vs 62.4 ± 59.38 seconds; P = 0.002). The incidences of coiling and kinking were lower in the stylet group (7.5% vs 32.5%; P = 0.005). The incidence of minor bleeding was lower in the stylet group, but not statistically significant (2.5% vs 17.5%; P = 0.057). No other complications were observed in either of the groups. Conclusion The gastric biopsy forceps-assisted nasogastric tube insertion resulted in a higher success rate, less time for insertion, and lower incidence of coiling and kinking of a nasogastric tube than the conventional blind technique in anesthetized intubated patients without serious complications. Trial registration: Thai Clinical Trials Registry (www.clinicaltrials.in.th), TCTR20141018001 (19/09/2014).

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