Fumi Mizuhashi,Hisato Saegusa,Ichiro Ogura,Makoto Oohashi ,Toru Oshikiri ,Yoshihiro Sugawara,
Comparison between Gastric Babble Sound and Chest X-Ray for Positioning in Nasogastric Tube Insertion on General Anesthesia for Oral and Maxillofacial Patients
Journal of Dentistry Open Access
2019
2674-4155
http://dx.doi.org/10.31487/j.JDOA.2019.01.06
https://www.sciencerepository.org/comparison-between-gastric-babble-sound-and-chest-x-ray_JDOA-2019-1-106 
Abstract: Objective: This study aimed to compare gastric babble sound with chest X-ray for positioning in nasogastric
tube insertion on general anesthesia for oral and maxillofacial patients.
Methods: Fifty-six oral and maxillofacial patients with nasogastric tube on general anesthesia were
included in this study. Length of nasogastric tube using gastric babble sound for positioning in nasogastric
tube insertion on general anesthesia were compared with those using chest X-ray after general anesthesia.
Furthermore, we evaluated the relationship between height, weight, Body Mass Index (BMI) and length of
nasogastric tube using Pearson’s correlation test. A P value lower than 0.05 was considered as statistically
significant.
Results: The incidences of adjustment after chest X-ray were 39.3 % (22/56 cases). Regarding cases of the
adjustment after chest X-ray, over tube length cases was 90.9 % (20/22 cases, over length: 5.3 ± 1.8 cm)
and under tube length cases was 9.1 % (2/22 cases, under length: -10 ± 0.0 cm). Furthermore, Height
correlated with length of nasogastric tube using gastric babble sound for positioning in nasogastric tube
insertion on general anesthesia (R = 0.505; p = 0.000) and length after adjustment using chest X-ray (R =
0.494; p = 0.000).
Conclusions: The chest X-ray seems to be useful for positioning in nasogastric tube insertion on general
anesthesia for oral and maxillofacial patients.
Keywords: Nasogastric tube, chest X-ray, gastric bubble sound, general anesthesia, oral and maxillofacial lesions