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CTRI Number  CTRI/2013/05/003652 [Registered on: 20/05/2013] Trial Registered Retrospectively
Last Modified On: 30/08/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Insertion of gastric tube before or after airway tube under general anaesthesia. 
Scientific Title of Study   Ease of nasogastric tube insertion before or after endotracheal intubation. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sameer Desai 
Designation  Assistant Professor 
Affiliation  SDM College of Medical Scieneces and Hospital 
Address  Dept of Anaesthesiology SDM college of Medical Sceinces and Hospital, Sattur Dharwad
SDM college of Medical Sceinces and Hospital, Sattur Dharwar 580009
Dharwad
KARNATAKA
580009
India 
Phone  9480752566  
Fax    
Email  sameeranaes@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sameer Desai 
Designation  Assistant Professor 
Affiliation  SDM College of Medical Scieneces and Hospital 
Address  Dept of Anaesthesiology SDM college of Medical Sceinces and Hospital, Sattur Dharwad
SDM college of Medical Sceinces and Hospital, Sattur Dharwar 580009
Dharwad
KARNATAKA
580009
India 
Phone  9480752566  
Fax    
Email  sameeranaes@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sameer Desai 
Designation  Assistant Professor 
Affiliation  SDM College of Medical Scieneces and Hospital 
Address  Dept of Anaesthesiology SDM college of Medical Sceinces and Hospital, Sattur Dharwad
SDM college of Medical Sceinces and Hospital, Sattur Dharwar 580009
Dharwad
KARNATAKA
580009
India 
Phone  9480752566  
Fax    
Email  sameeranaes@gmail.com  
 
Source of Monetary or Material Support  
Dept Anaesthesia SDM College of Medical Sciences and Hospital Sattur Darwad.  
 
Primary Sponsor  
Name  SDM College of Medical Sciences 
Address  Dept Anaesthesia SDM College of Medical Sciences and Hospital Sattur Darwad.  
Type of Sponsor  Private 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 
Dr Sameer Desai  Dept Anaesthesia  Dept Anaesthesia SDM College of Medical Sciences and Hospital Sattur Darwad.
Dharwad
KARNATAKA 
9480752566

sameeranaes@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SDM institutional Ethics Commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  patients needing general anaesthesia with endotracheal intubation and who require NG tube insertion ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NG tube insertion after endotracheal intubation  NG tube will inserted after orotracheal intubation. 
Intervention  NG tube insertion before endotracheal intubation  NG tube will be inserted before orotracheal intubation. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patient receiving general anesthesia with endotracheal intubation for various surgical procedures
who need nasogastric (NG) tube insertion will be included in the study. 
 
ExclusionCriteria 
Details  Predicted difficult airway/ intubation
Patient with full stomach, needing rapid sequence induction 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Success rate of first attempt of NG tube insertion
2. Number of attempts need for successful NG tube insertion.  
at the end of successful NG tube insertion 
 
Secondary Outcome  
Outcome  TimePoints 
1. time taken for successful NG tube insertion,
2. fall in the oxygen saturation more than 5percent
3. need for ventilation during the procedure,
4. complication like kinking, knotting, bleeding between the groups.  
Time in sec 
 
Target Sample Size   Total Sample Size="122"
Sample Size from India="122" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="124" 
Phase of Trial   N/A 
Date of First Enrollment (India)   08/10/2012 
Date of Study Completion (India) 30/12/2014 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Published in European Journal of Anaesthesiology. Deai SN, Torgal SV. Ease of insertion of nasogastric tube, before or after endotracheal intubation under general anaesthesia A randomised study. Eur J Anaesthesiol 2016; 33:379–390 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Insertion of a Nasogastric tube (NGT) in anesthetised, paralysed, and intubated patients can be difficult. Many techniques have been proposed to aid in NGT insertion including forward displacement of the larynx, use of split endotracheal tube, guidewire and neck flexion with lateral neck pressure. Despite of these insertion of NGT under anaesthesia in presence of endotracheal tube is difficult. 

Presence of endotracheal tube with inflated cuff may change the anatomy of the oro and laryngo pharynx and hence make the insertion of NGT difficult. 

Previous studies have recommended deflation of endotracheal tube cuff to help insertion of NGT, to restore the anatomical distortion caused by endotracheal tube cuff. 

Whether general anaesthesia with muscle relaxtion per se makes the NGT insertion difficult or the inflated cuff of endotracheal tube hinders NGT is not studied. 

Therefore we are planing this study to check the ease of insertion of NGT before and after the endotracheal tube insertion. 

 
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