PMID- 37335732
OWN - NLM
STAT- MEDLINE
DCOM- 20230621
LR  - 20230621
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 102
IP  - 20
DP  - 2023 May 19
TI  - Effectiveness of techniques for insertion of nasoenteral probe in critical 
      patients: Randomized clinical trial.
PG  - e33795
LID - 10.1097/MD.0000000000033795 [doi]
LID - e33795
AB  - INTRODUCTION: despite being a common procedure, nasally placed small-bowel 
      feeding tube insertion is not risk-free and can compromise patient safety. Due to 
      the fact that nasally placed small-bowel feeding tube is commonly inserted 
      '"blindly," with the patient head in the neutral position, sometimes the process 
      becomes difficult and traumatic, and may present higher level of complexity in 
      physiological or induced coma and intubated patients. Therefore, adverse events 
      (AEs) route errors can occur during this procedure. This study aimed to determine 
      the effectiveness of different nasally placed small-bowel feeding tube insertion 
      techniques in coma and intubated patients, in comparison with conventional 
      method. METHODS: A prospective, randomized and controlled clinical trial will be 
      carried out with coma and intubated patients admitted to the Intensive Care Unit 
      (ICU). Thirty-nine patients will be randomly divided into 3 groups: group who 
      will have the tube inserted in a conventional manner with the head in the neutral 
      position, group with the head positioned laterally to the right, and, finally, 
      with the head in the neutral position, with assistance of a laryngoscope. The 
      primary endpoint will be: first, second and total attempt success rate; and time 
      required for the first successful attempt and the sum of all attempts. 
      Complications during insertion included tube bending, twisting, knotting, mucosal 
      bleeding, and insertion into the trachea. Patient vital signs will be measured.
CI  - Copyright (c) 2023 the Author(s). Published by Wolters Kluwer Health, Inc.
FAU - Queiroz, Cintia Galvao
AU  - Queiroz CG
AD  - Nursing Graduate Program, Federal University of Rio Grande do Norte, Natal, 
      Brazil.
FAU - Dantas, Joyce Karolayne Dos Santos
AU  - Dantas JKDS
AD  - Department of Nursing, Federal University of Rio Grande do Norte, Natal, Brazil.
FAU - de Araujo, Sara Cristina Matias
AU  - de Araujo SCM
AD  - Department of Nursing, Federal University of Rio Grande do Norte, Natal, Brazil.
FAU - Rocha, Mayara Araujo
AU  - Rocha MA
AD  - Nursing Graduate Program, Federal University of Rio Grande do Norte, Natal, 
      Brazil.
FAU - Mendes, Francisco De Cassio de Olivira
AU  - Mendes FCO
AD  - Nursing Graduate Program, Federal University of Rio Grande do Norte, Natal, 
      Brazil.
FAU - Medeiros, Kleyton Santos
AU  - Medeiros KS
AD  - Institute of Teaching, Research and Innovation, Liga Contra o Cancer, Natal, 
      Brazil.
FAU - Dantas, Daniele Vieira
AU  - Dantas DV
AD  - Department of Nursing, Federal University of Rio Grande do Norte (UFRN), Natal, 
      RN, Brazil.
FAU - Dantas, Rodrigo Assis Neves
AU  - Dantas RAN
AUID- ORCID: 0000-0002-9309-2092
AD  - Department of Nursing, Federal University of Rio Grande do Norte (UFRN), Natal, 
      RN, Brazil.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Humans
MH  - *Coma/etiology
MH  - Prospective Studies
MH  - Intubation, Gastrointestinal/methods
MH  - Enteral Nutrition/methods
MH  - *Laryngoscopes
PMC - PMC10194724
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2023/06/19 19:12
MHDA- 2023/06/21 06:42
PMCR- 2023/05/17
CRDT- 2023/06/19 12:03
PHST- 2023/06/21 06:42 [medline]
PHST- 2023/06/19 19:12 [pubmed]
PHST- 2023/06/19 12:03 [entrez]
PHST- 2023/05/17 00:00 [pmc-release]
AID - 00005792-202305190-00048 [pii]
AID - 10.1097/MD.0000000000033795 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2023 May 19;102(20):e33795. doi: 
      10.1097/MD.0000000000033795.