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CTRI Number  CTRI/2025/12/099339 [Registered on: 17/12/2025] Trial Registered Prospectively
Last Modified On: 27/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   comparison of three technique of nasogastric tube insertion 
Scientific Title of Study   Comparison of three techniques of nasogastric tube insertion in anaesthetised, intubated patients for cardiac surgery: A randomized controlled trial  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sravan Kumar Jamalpur 
Designation  PG student 
Affiliation  B J Medical College  
Address  Department of Cardiac Anesthesia, U N Mehta Institute Of Cardiology and Research Center, New Civil hospital campus, Asarwa, Ahmedabad
Civil hospital campus Asarwa Ahmedabad Gujarat
Ahmadabad
GUJARAT
380016
India 
Phone  9948373675  
Fax  07922682092  
Email  drjsrk@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ritesh Babulal Shah 
Designation  Professor  
Affiliation  B J Medical College  
Address  Department of Cardiac Anesthesia, U N Mehta Institute Of Cardiology and Research Center, New Civil hospital campus, Asarwa, Ahmedabad
New Civil hospital campus, Asarwa, Ahmedabad Gujarat
Ahmadabad
GUJARAT
380016
India 
Phone  9825184730  
Fax  07922682092  
Email  drritesh_shah1@yahoo.com.in  
 
Details of Contact Person
Public Query
 
Name  Sravan Kumar Jamalpur 
Designation  PG student 
Affiliation  B J Medical College  
Address  Department of Cardiac Anesthesia, U N Mehta Institute Of Cardiology and Research Center, New Civil hospital campus, Asarwa, Ahmedabad
New Civil hospital campus, Asarwa, Ahmedabad Gujarat
Ahmadabad
GUJARAT
380016
India 
Phone  9948373675  
Fax  07922682092  
Email  drjsrk@gmail.com  
 
Source of Monetary or Material Support  
U N Mehta Institute of Cardiology and Research Center, New civil hospital campus, Asarwa, Ahmedabad, Gujarat, India, 380016 
 
Primary Sponsor  
Name  U N Mehta Institute of Cardiology and Research Center 
Address  U N Mehta Institute of Cardiology and Research Center, New civil hospital campus, Asarwa, Ahmedabad, Gujarat, India, 380016 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Sravan Kumar Jamalpur  U N Mehta Institute of Cardiology and Research Center  Department of Cardiac Anesthesia, 8th floor, OT complex,
Ahmadabad
GUJARAT 
9948373675
07922682092
drjsrk@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Institutional Ethic Committee-UNMICRC  Approved 
Institutional Ethic Committee-UNMICRC  Approved 
Institutional Ethic Committee-UNMICRC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nasogastric tube insertion  To compare the haemodynamic effects of three methods of ryles tube insertion in patients undergoing CABG valvular surgeries and CABG and valve surgery. 
Comparator Agent  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  The patients scheduled for elective surgery like CABG, CABG and Valvular heart surgery, requiring NGT insertion were recruited during preoperative evaluation.
Patients aged 20 and 70 years, (ASA) physical status class III and above
normal airway (Mallampati grade 1 or 2) 
 
ExclusionCriteria 
Details  Significant deformities of chin, pharynx and/or larynx, base of skull lesion, upper airway lesion,
abnormal prothrombin time, activated partial thromboplastin time and platelet disorder,
oesophageal stenosis or varices
history of radiotherapy in the head and neck region. Informed consent was obtained from each willing patient after discussion of the study procedure and expected complications.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the haemodynamic effects of different techniques of ryle’s tube insertion  Baseline, within 10 minutes after procedure 
 
Secondary Outcome  
Outcome  TimePoints 
Number of attempts
Time for successful insertion
Complications like kinking, coiling, failure, bleeding
 
To compare the haemodynamic effects of different techniques of ryles tube insertion 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   29/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Insertion of nasogastric tubes (NGTs) in anaesthetised, intubated patients is a routine practice which is often difficult with a conventional method. Different techniques of NGT insertion have been tried with varying degree of success. Failure rate is as high as 50% in the first attempt with conventional method. The distal portion of NGT has multiple apertures , weakest part, making it susceptible to kink, coil, and knot. Various modifications have been made for insertion of ryle’s tube in an anaesthetised and intubated patient. Insertion of ryle’s tube during cardiac surgeries may lead to haemodynamic instability and arrhythmias.

 
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