title: Orogastric tube insertion using the new gastric tube guide: first experiences from a manikin study.
abstract: Orogastric tube placement is a common procedure routinely used in clinical anesthesiology and intensive care medicine. Nevertheless high failure rates and severe complications have been reported. We conducted this study to evaluate if the usage of the new gastric tube guide would speed up the placement of orogastric tubes and ease the procedure.
  
  
  
  Thirty one professionals were given a hands-on-training in orogastric tube placement in a simulation manikin without and with the gastric tube guide. Afterwards they performed both methods in randomized order. We recorded the placement time, counted the required attempts and asked the participants to rate their experience with both methods.
  
  
  
  The median placement time using the gastric tube guide was 14 s compared to 25 s without the device. In addition all participants were able to place the orogastric tube when using the gastric tube guide compared to 26/31 (84%) without it. Furthermore 26/31 (84%) users preferred the gastric tube guide over the standard method.
  
  
  
  Our results show that using the gastric tube guide to place orogastric tubes in a manikin led to a significant shorter placement time and a higher overall success rate.
authors.affiliation: Department of Anesthesiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstrasse 1, Mainz, 55131, Germany. chalflen@uni-mainz.de.
authors.forename: Christian
authors.identifier: 0000-0002-0004-9424
authors.initials: C
authors.lastname: Alflen
authors.affiliation: Department of Anesthesiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstrasse 1, Mainz, 55131, Germany.
authors.forename: Marc
authors.initials: M
authors.lastname: Kriege
authors.affiliation: Institute of Medical Biostatistics, Epidemiology, and Informatics, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstrasse 1, Mainz, 55131, Germany.
authors.forename: Irene
authors.initials: I
authors.lastname: Schmidtmann
authors.affiliation: Department of Anesthesia & Perioperative Medicine, Western University, London, ON, Canada.
authors.forename: Rüdiger R
authors.initials: RR
authors.lastname: Noppens
authors.affiliation: Department of Anesthesiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstrasse 1, Mainz, 55131, Germany.
authors.forename: Tim
authors.initials: T
authors.lastname: Piepho
mesh_terms: D004521:Educational Measurement; D006801:Humans; D007318:Inservice Training; D007441:Intubation, Gastrointestinal / Q000295:instrumentation*; D008348:Manikins; D000066908:Simulation Training
keywords: Gastric tube guide; Nasogastric tube; Orogastric tube