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CTRI Number  CTRI/2020/02/023242 [Registered on: 11/02/2020] Trial Registered Prospectively
Last Modified On: 22/01/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A comparison between two different methods of nasogastric tube insertion; the SORT method and blind insertion, in adult patients who have received general anaesthesia. 
Scientific Title of Study   Nasogastric tube insertion in anaesthetised, intubated, adult patients: a comparison between the conventional method and the SORT manoeuvre. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Saroojini Divyaa Dhakal 
Designation  Post-Graduate Student, Department of Anaesthesiology 
Affiliation  Nil Ratan Sircar Medical College 
Address  Department of Anaesthesiology, Ground Floor, U&B building, Nil Ratan Sircar Medical College, 138, A.J.C Bose Road, Sealdah, Kolkata, West Bengal.

Kolkata
WEST BENGAL
700014
India 
Phone  07834817592  
Fax    
Email  sarojdhakal33@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mohanchandra Mandal 
Designation  Professor, Department of Anaesthesiology 
Affiliation  Nil Ratan Sircar Medical College 
Address  Department of Anaesthesiology, Ground Floor, U&B Building, Nil Ratan Sircar Medical College, 138, A.J.C Bose Road, Sealdah, Kolkata-14, West Bengal.

Kolkata
WEST BENGAL
700014
India 
Phone  9433072820  
Fax    
Email  drmcmandal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mohanchandra Mandal 
Designation  Professor, Department of Anaesthesiology 
Affiliation  Nil Ratan Sircar Medical College 
Address  Department of Anaesthesiology, Ground Floor, U&B Building, Nil Ratan Sircar Medical College, 138, A.J.C Bose Road, Sealdah, Kolkata-14, West Bengal.

Kolkata
WEST BENGAL
700014
India 
Phone  9433072820  
Fax    
Email  drmcmandal@gmail.com  
 
Source of Monetary or Material Support  
Nil Ratan Sircar Medical College and Hospital. 
 
Primary Sponsor  
Name  Nil Ratan Sircar Medical College and Hospital 
Address  138, A.J.C Bose Road, Sealdah, Kolkata-14, West Bengal. 
Type of Sponsor  Government medical college 
 
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 
DrSaroojini D Dhakal  Nil Ratan Sircar Medical College  Central OT (Sushruta OT), Nil Ratan Sircar Medical College, 138, AJC Bose Road, Sealdah, Kolkata-14
Kolkata
WEST BENGAL 
07834817592

sarojdhakal33@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NRSMCH Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K00-K95||Diseases of the digestive system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional blind nasogastric tube insertion  This procedure is done by placing the head of the intubated, anaesthetised patient in the neutral position, and then inserting the nasogastric tube gently upto the desired length. 
Intervention  SORT Manoeuvre  This manoeuvre involves placing patients head in sniffing position, orientation of the nasogastric tube from nose to the oesophageal entrance, rotation of the head to the contralateral side, with or without pressure at the pyriform fossa, and twisting motion of the NGT during insertion. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Adult patients undergoing elective abdominal surgeries, that require intra-operative nasogastric tube insertion.
2.Patients that have given written informed consent to participating in the study. 
 
ExclusionCriteria 
Details  1.Anatomical/structural abnormalities such as cleft lip, cleft palate, deviated nasal septum etc.
2.Patients with oral, nasal, pharyngeal or oesophageal masses.
3.Patients with significant injuries involving the head and neck region.
4.Patients with thrombocytopenia or coagulopathies. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Proportion of successful insertions in a single attempt  After completion of data collection 
 
Secondary Outcome  
Outcome  TimePoints 
Time taken for insertion  At the time of insertion 
Adverse events occurring during insertion  At the time of insertion
 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
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)   15/02/2020 
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   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is a randomised, single-blind (patient blind) , parallel group, active-controlled study, comparing the success rate of correct nasogastric tube placement using either the SORT Manoeuvre or the conventional blind technique, in 160 (80 in each group)  anaesthetised, intubated patients, over a time period of approximately 1 year, in a single centre. The primary outcome measure will be the proportion of patients with successful nasogastric tube placement in the first attempt, using either of the methods. The secondary outcome measures will be the procedure time, as well as any adverse events occurring during the procedure. The observations will be analysed using appropriate statistical methods with the help of an expert. 
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