About: A comparison of nasogastric tube insertion by SORT maneuver (sniffing position, NGT orientation, contralateral rotation, and twisting movement) versus neck flexion lateral pressure in critically ill patients admitted to ICU: a prospective randomized clinical trial

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About: A comparison of nasogastric tube insertion by SORT maneuver (sniffing position, NGT orientation, contralateral rotation, and twisting movement) versus neck flexion lateral pressure in critically ill patients admitted to ICU: a prospective randomized clinical trial Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	A comparison of nasogastric tube insertion by SORT maneuver (sniffing position, NGT orientation, contralateral rotation, and twisting movement) versus neck flexion lateral pressure in critically ill patients admitted to ICU: a prospective randomized clinical trial
Creator	Safiri, Saeid Mahmoodpoor, Ata Sanaie, Sarvin Shamekh, Ali Bettampadi, Deepti Golzari, Samad Mirzalou, Negin Shadvar, Kamran Soleimanpour, Hassan
Source	PMC
abstract	BACKGROUND: Although many techniques have been introduced to facilitate nasogastric tube (NGT) insertion using anatomic landmarks and a group of devices, there is a lack of general consensus regarding a standard method. The current study purposed to investigate if SORT maneuver (sniffing position, NGT orientation, contralateral rotation, and twisting movement) increases the success rate of NGT correct placement versus neck flexion lateral pressure (NFLP) method. METHODS: A randomized controlled trial study was conducted in two university affiliated intensive care units (tertiary referral center). Three hundred and ninety-six critically ill patients older than 18 years of age were randomly divided into SORT (n = 200) and NFLP (n = 196) groups. The technique was classified as “failed” after the third unsuccessful attempt. Patient characteristics, success rate for the first attempt, time required for the successful first attempt and overall successful insertion time, various complications including kinking, coiling and bleeding and ease of insertion were noted as main outcomes measured. RESULTS: Ease of insertion was significantly better in the SORT group compared to the NFLP group (P < 0.001). The number of failed attempts was significantly higher in the NFLP group (7.5%) vs the SORT group (3.0%) (P = 0.046). The pattern of complications was not different between two study groups (P = 0.242). The odds of stage II (odds ratio (OR) = 49.9; 95% confidence interval (CI) 25.2 to 98.6), stage III (OR = 67.1; 95% CI 14.9 to 302.8)) and stage IV (OR = 11.8; 95% CI 3.4 to 41.2) ease of insertion were much higher in NFLP compared to SORT group, after adjusting for age and body mass index (BMI). The odds of failure was not significantly different in NFLP group compared to SORT group (OR = 2.3; 95% CI 0.85 to 6.3), after adjusting for age and BMI. CONCLUSIONS: SORT technique may be considered as a promising method for successful NGT insertions in critically ill patients. However, more trials are needed to confirm the results of this study. The decision must account for individual patient and clinical factors and the operator’s experience and preference. Trial registration: The study was registered at government registry of clinical trials in Iran (http://www.IRCT.ir) (number: IRCT20091012002582N18, 13 March 2018)
has issue date	2020-06-12(xsd:dateTime)
bibo:doi	10.1186/s13613-020-00696-2
has license	cc-by
sha1sum (hex)	46c05dc260ffcaf191152004f3ae2d6d5eaff996
schema:url	https://doi.org/10.1186/s13613-020-00696-2
resource representing a document's title	A comparison of nasogastric tube insertion by SORT maneuver (sniffing position, NGT orientation, contralateral rotation, and twisting movement) versus neck flexion lateral pressure in critically ill patients admitted to ICU: a prospective randomized clinical trial
has PubMed Central identifier	PMC7289937
schema:publication	Ann Intensive Care
resource representing a document's body	covid:46c05dc260ffcaf191152004f3ae2d6d5eaff996#body_text
is schema:about of	named entity 'flexion' named entity 'SORT' named entity 'contralateral' named entity 'NECK FLEXION' named entity 'METHOD' named entity 'ANATOMIC LANDMARKS' named entity 'LACK' covid:arg/46c05dc260ffcaf191152004f3ae2d6d5eaff996 named entity 'introduced' named entity 'success' named entity 'nasogastric tube' named entity 'study' named entity 'prospective' named entity 'NGT' named entity 'nasogastric tube' named entity 'nasogastric tube' named entity 'ICU' named entity 'randomized clinical trial' named entity 'landmarks' named entity 'Stage IV' named entity 'Mallampati score' named entity 'distal' named entity 'intubation' named entity 'critically ill patients' named entity 'Nasogastric tube' named entity 'single-blind' named entity 'Stata' named entity 'contralateral' named entity 'sample size' named entity 'stylet' named entity 'ICU' named entity 'confounding variables' named entity 'cognition' named entity 'Mann-Whitney U test' named entity 'statistical power' named entity 'intubated' named entity 'Additional sample' named entity 'manoeuver' named entity 'auscultation' named entity 'critically ill patients' named entity 'body mass index' named entity 'cranium' named entity 'laryngoscope' named entity 'ICUs' named entity 'statistically significant' named entity 'nasopharynx' named entity 'confidence level' named entity 'anatomy' named entity 'Kolmogorov-Smirnov test' named entity 'critically ill patients' named entity 'coagulopathy' named entity 'body mass index' named entity 'informed consent' named entity 'NG tube' named entity 'blinded study' named entity 'chylothorax' named entity 'arytenoid cartilage' named entity 'Stage III' named entity 'esophagus' named entity 'critically ill patients' named entity 'oropharynx' named entity 'pressure head' named entity 'nostril' named entity 'endotracheal tube' named entity 'SPSS Inc.' named entity 'esophagus' named entity 'GlideScope' named entity 'chylothorax' named entity 'NG tube' named entity 'NG tube' named entity 'flexion' named entity 'Stage II' named entity 'guidewire' named entity 'Magill forceps' named entity 'clinical trial'

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