Nasogastric Tubes for Bronchiolitis
Recruiting in Palo Alto (17 mi)
Age: < 18
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Arkansas Children's Hospital Research Institute
Disqualifiers: Bacterial pneumonia, Cranio-facial anomalies, Congenital heart disease, others
No Placebo Group
Approved in 6 Jurisdictions
Trial Summary
What is the purpose of this trial?This study aims to evaluate whether placing nasogastric tubes for gastric decompression improves respiratory distress for patients with bronchiolitis who are receiving oxygen via high-flow nasal cannula.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Nasogastric tube placement for bronchiolitis?
While there is no direct evidence for using nasogastric tubes specifically for bronchiolitis, nasogastric tubes are commonly used for feeding in children with feeding difficulties and have been shown to be an effective method for providing nutrition. They are also used in various medical settings to ensure patients receive necessary nutrients when they cannot eat by mouth.
12345Is it safe to use nasogastric tubes in humans?
Nasogastric tubes are generally safe for delivering nutrition and medication, but incorrect placement can lead to serious complications like pneumothorax (air in the chest cavity) or hemothorax (blood in the chest cavity). Proper training and verification of tube placement are crucial to avoid these risks.
56789How does nasogastric tube placement differ from other treatments for bronchiolitis?
Nasogastric tube placement is unique for bronchiolitis as it provides nutrition directly to the stomach when oral feeding is not possible, unlike other treatments that may focus on respiratory support. It is commonly used in children during the bronchiolitis season, especially in hospitals, to ensure they receive adequate nutrition while recovering.
510111213Eligibility Criteria
This trial is for babies and toddlers up to 23 months old with bronchiolitis who are receiving oxygen through a high-flow nasal cannula. It's not suitable for those with tracheostomy, short gut syndrome, congenital heart disease, G-tube dependence, cranio-facial anomalies or bacterial pneumonia.Inclusion Criteria
My doctor diagnosed me with bronchiolitis.
I am under 2 years old.
You are using a high-flow nasal cannula at a rate of 4 liters per minute or more.
Exclusion Criteria
You have had a condition called short gut syndrome in the past.
I was born with a heart condition.
I have had or currently have a tracheostomy.
+3 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
1-2 weeks
Treatment
Participants receive nasogastric tube placement for gastric decompression while on high-flow nasal cannula
60 minutes
1 visit (in-person)
Follow-up
Participants are monitored for safety and effectiveness after treatment
1-2 days
Participant Groups
The study is testing if using nasogastric tubes to remove stomach contents can help ease breathing difficulties in young patients with bronchiolitis on high-flow oxygen therapy.
1Treatment groups
Experimental Treatment
Group I: Nasogastric tube placementExperimental Treatment1 Intervention
Nasogastric tube placement is already approved in European Union, United States, Canada, Japan, China, Switzerland for the following indications:
🇪🇺 Approved in European Union as NG tube for:
- Gastric decompression
- Nutritional support
- Medication administration
- Removal of gastric contents
🇺🇸 Approved in United States as NG tube for:
- Gastric decompression
- Nutritional support
- Medication administration
- Removal of gastric contents
- Bowel obstruction
- Ileus
🇨🇦 Approved in Canada as NG tube for:
- Gastric decompression
- Nutritional support
- Medication administration
- Removal of gastric contents
🇯🇵 Approved in Japan as NG tube for:
- Gastric decompression
- Nutritional support
- Medication administration
🇨🇳 Approved in China as NG tube for:
- Gastric decompression
- Nutritional support
🇨🇭 Approved in Switzerland as NG tube for:
- Gastric decompression
- Nutritional support
- Medication administration
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Arkansas Children's HospitalLittle Rock, AR
Loading ...
Who Is Running the Clinical Trial?
Arkansas Children's Hospital Research InstituteLead Sponsor
References
Bronchopulmonary complications associated to enteral nutrition devices in patients admitted to internal medicine departments. [2014]Enteral nutrition using feeding devices such as nasogastric (NG) tube or percutaneous endoscopic gastrostomy (PEG) is an effective feeding method subject that may give rise to complications. We have studied the relationship between enteral nutrition feeding devices in patients admitted to the Internal Medicine Departments and the development of pulmonary complications (bronchial aspiration and aspiration pneumonia).
Effect of nasogastric tube on salivagram result in paediatric patients. [2020]The aim of this study was to analyse the potential effect of indwelling nasogastric tubes (NGTs) on the positive rate of pulmonary aspiration in the salivagram of paediatric patients.
Creation of a Standard Model for Tube Feeding at Neonatal Intensive Care Unit Discharge. [2021]Feeding dysfunction is a common consequence of prematurity and illness in neonates, often requiring supplemental nasogastric (NG) or gastrostomy (GT) feeding tubes. A standardized approach to the discharge of infants receiving home enteral nutrition (HEN) is currently lacking.
Bedside enteral feeding tube placement into duodenum and jejunum. [2017]A bedside method for placement of nasoenteric feeding tubes is described utilizing gravity and corkscrewing of the feeding tube to pass the pylorus and then air injection to verify position of the tube from the location and character of transmitted sounds to the stethoscope. Twenty-eight of 31 consecutive patients requiring enteral feeding had tubes successfully placed past the pylorus using this method, 25 on the first attempt and three on the second. This method is an effective and inexpensive alternative to endoscopic or fluoroscopic feeding tube placement.
Use of Nasogastric Feeding Tubes for Children at Home: A Template for Caregiver Education. [2018]There is a lack of knowledge on the part of caregivers who need to place nasogastric (NG) tubes in children for enteral nutrition therapy. This article provides the rationale, best practices, and a template for caregiver education. Canadian and Australian programs have excellent patient education materials. They have shared these step-by-step procedures for healthcare professionals to provide to caregivers to whom they are teaching placement and care of NG tubes.
Evaluation of methods used to verify nasogastric feeding tube placement in hospitalized infants and children - A follow-up study. [2022]Nasogastric (NG) feeding tubes are used to deliver nutrition, hydration, and medications to hospitalized infants and children but the ongoing use of non-evidence-based practice (EBP) methods to confirm NG tube (NGT) placement has been associated with adverse patient events.
Immediate chest radiograph interpretation by radiographers improves patient safety related to nasogastric feeding tube placement in children. [2022]Despite the publication of a national patient safety alert in 2016, inadvertent feeding through misplaced nasogastric tubes continues to occur, either through failure to review the radiograph, misinterpretation of it, or failure to communicate the results.
Nasogastric feeding practices: a survey using clinical scenarios. [2012]Bolus nasogastric tube feeding is common. Unsafe practices such as failure to confirm tube placement can result in death. It is vital to ensure that nurses are adopting safe practices.
Hemothorax Following Traumatic Dobhoff Tube Insertion. [2021]Dobhoff tube is a specialized small-bore and flexible nasogastric tube that makes it more comfortable for placement than a usual nasogastric tube. Dobhoff tube insertion is commonly considered a relatively safe bedside procedure, but it is not without its associated risks. Inadvertent tracheobronchial placement of Dobhoff tube has been associated with severe complications, most notably pneumothorax. We present a rare cause of right-sided hemothorax following tracheobronchial insertion of a Dobhoff tube with a prolonged and arduous clinical course.
Learning through leadership. [2019]Almost 800,000 nasogastric tubes are used in the NHS each year. They are used regularly in children's nursing, particularly on neonatal units and children's wards over the winter bronchiolitis season.
Inadvertent insertion of a nasogastric tube into both main bronchi of an awake patient: a case report. [2021]The use of nasogastric tube is desirable for the short-term administration of calories when oral feeding is not possible. Although the insertion of nasogastric tubes has been described as being easy this is not without risks. An unusual case of malpositioning of a fine bore nasogastric tube into both main bronchi in a patient that was awake is reported. Respiratory complications of misplaced nasogastric tubes and the importance of a check chest x-ray following tube placement are discussed.
The comparison of capnography and epigastric auscultation to assess the accuracy of nasogastric tube placement in intensive care unit patients. [2021]Placement of nasogastric (NG) tubes is a common procedure for patients especially in intensive care units (ICUs). Thus, it is important to determine the correct placement of the tube to prevent misplacement in the airways. Accordingly, the aim of this study was to compare the epigastric auscultation and capnography in assessing the accuracy of NG tube insertion in ICU patients.
Malposition of feeding tubes in neonates: is it an issue? [2022]Accurate tube placement of orogastric and nasogastric feeding tubes in neonates is important to ensure safe and effective enteral feeding. Errors in placement and position of feeding tubes are described in literature, but there is little evidence of the exact prevalence of improperly placed tubes, especially in neonates.