Evaluation of Nasogastric Tube Insertion with or without Guide Wire during Laparoscopic Cholecystectomy in Imam Reza AJA Hospital

authors:

avatar Mostafa Shahrezaei 1 , avatar Mohamadreza Rafiei 2 , avatar Mohamad Afsahi 3 , avatar Vahid Ziae 4 , avatar Saeedreza Ghadirpour 5 , avatar Ebrahim Hazrati 6 , *

Associate Professor of OrthopedicDepartment of AJA University of Medical Sciences, Imam Reza Hospital, Tehran, Iran., Iran
Associate Professor of Anesthesiology Department of AJA University of Medical Sciences, Imam Reza Hospital, Tehran, Iran., Iran
Assistant Professor of Anesthesiology Department of AJA University of Medical Sciences, Imam Reza Hospital, Tehran, Iran., Iran
Assistant Professor of Anesthesiology Department of Najaf Abad Azad University of Medical Science., Iran
General Physician., Iran
Anesthesia, Iran
Annals of Military and Health Sciences Research: Vol.14, issue 1; e13761
published online: April 09, 2016
article type: Original Article
received: February 06, 2016
accepted: March 05, 2016

how to cite: Shahrezaei M , Rafiei M , Afsahi M , Ziae V , Ghadirpour S , et al. Evaluation of Nasogastric Tube Insertion with or without Guide Wire during Laparoscopic Cholecystectomy in Imam Reza AJA Hospital. Ann Mil Health Sci Res. 2016;14(1):e13761. 

Abstract

Purpose: According to frequent needs to gastric decompression by nasogastric tube insertion during laparoscopic Cholecystectomy, the current comparative study was accomplished through single blind clinical trial considering both the presence and the absence of guide wire insertion. Materials and Methods: Twenty patients were selected for elective surgery of laparoscopic Cholecystectomywith general anesthesia.Guide wires were usedin the nasogastric tube insertion operation of patients with even numberswhile the operation of patients with odd numberswas not assisted withthese guide wires.Afterwards, the considered parameters between the two groups were evaluated.The gathered data was analyzed by SPSS softwareversion 18.The results were considered statistically significant for (P = .05). Results: The two groups were uniform regarding demographic parameters such as age, and sex (P = .05).In the group utilized guide wiresthe surgeon’s satisfaction rate was higher while some other parameters such as trial score, bleeding episodes, insertion time, and Rate-Pressure Production Index were meaningfully lower than the those of the group not utilized guide wires. Also, in both groups the success rate of insertion through left nostril was statistically higher (P = .05). Conclusion: In laparoscopic Cholecystectomy, theinsertion method of nasogastric tube with guide wires is better than not using theguide wires.

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