Blind Gastric Tube Placement: Incidence of Malposition Confirmed by Ultrasonography

NCT03430908 | Completed

• 1 other identifier: 17-653
• Study Type: observational
• Target: 166
• Locations: 1 country
• Sites: 1

Brief Summary

This is a prospective, single-arm cohort, observational study to determine the incidence of gastric tube malposition during blind insertion by an anesthesia provider.

Conditions

Anesthesia

Keywords

endotracheal tube; gastric tube; 17-653; Memorial Sloan Kettering Cancer Center

Outcome Measures

Primary Outcomes (1)

• Incidence of malposition of blindly placed gastric tubes by anesthesia providers

  Day of procedure

Study Arms (1)

Participants with an endotracheal tube

Participants undergoing general anesthesia with an endotracheal tube will have a gastric tube blindly inserted by an anesthesia provider.

Other: Blind Gastric Tube Placement

Interventions

Blind Gastric Tube Placement OTHER

The provider will be blinded to the ultrasound imaging throughout the entire insertion. This blind insertion process is the standard of care currently practiced at MSKCC. After the provider verbalizes that they have completed the insertion the investigators will stop the ultrasound imaging and complete the data form. No information will be given to the provider about the location of the gastric tube as to not deviate from the standard of care. The only time that information will be provided to the practitioner inserting the tube will be if the tube is positioned in any of the following positions that are thought to be potentially injurious if unrecognized. These positions include intrapulmonary, cranial, nasal or oral pharyngeal placements and diverticular or hiatal hernia sac coiling and remain unrecognized by the practitioner. These are considered positions that have the potential for injury and therefore will be divulged to prevent ensuing injury.

Participants with an endotracheal tube

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult participants undergoing general anesthesia with an endotracheal tube that will have a gastric tube blindly inserted by an anesthesia provider.

You may qualify if:

• The adult population, ages 18 and greater
• Patients undergoing general anesthesia with an endotracheal tube that will have a gastric tube blindly inserted by an anesthesia provider

You may not qualify if:

• Pediatric population (\<18 years)
• Gastric tube inserted under direct visualizing (the use of a Mac or Miller laryngoscope or any video laryngoscope)
• Inability to visualize gastric tube by ultrasound due to body habitus, analogous anatomy, etc
• Pre-anesthesia insitu gastric tube
• Gastric tube inserted by practitioner other than a member of the anesthesia team

Sponsors & Collaborators

• Memorial Sloan Kettering Cancer Center: lead

Study Sites (1)

Memorial Sloan - Kettering Cancer Center

New York, New York, 10021, United States

Location

Related Links

• Memorial Sloan Kettering Cancer Center

Study Officials

• Luis E Tollinche, MD

  Memorial Sloan Kettering Cancer Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 7, 2018
• First Posted: February 13, 2018
• Study Start: December 22, 2017
• Primary Completion: June 17, 2019
• Study Completion: June 17, 2019
• Last Updated: June 18, 2019

Record last verified: 2019-06

Locations

US (1)