What are the indications for nasogastric tube?
Diagnostic indications for NG intubation include the following:Evaluation of upper gastrointestinal (GI) bleeding (ie, presence, volume)Aspiration of gastric fluid content.Identification of the esophagus and stomach on a chest radiograph.Administration of radiographic contrast to the GI tract.More items...•Apr 21, 2020
What are the indications and contraindications of nasogastric tube insertion?
Relative contraindications for NG intubation include the following: Coagulation abnormality. Esophageal varices (usually, a Sengstaken-Blakemore tube is introduced, but an NG tube can be used for lower-grade varices) or stricture. Recent banding of esophageal varices.Apr 21, 2020
What are the contraindications for nasogastric insertion?
Absolute contraindications to NG tube placement are severe midface trauma and recent nasal, throat, or esophageal surgery. Severe midface trauma can easily compromise the patient's airway, and some facial and cranial vault bones are extremely thin and fragile.
Where to insert nasogastric tube?
Gently insert the nasogastric tube along the floor of the nose and advance it parallel to the nasal floor (ie, directly perpendicular to the patient's head, not angled up into the nose) until it reaches the back of the nasopharynx, where resistance will be met (10-20 cm).
What is NG tube intubation?
Gastric intubation via the nasal passage (ie, nasogastric route) is a common procedure that provides access to the stomach for diagnostic and therapeutic purposes. A nasogastric (NG) tube is used for the procedure. The placement of an NG tube can be uncomfortable for the patient if the patient is not adequately prepared with anesthesia to ...
What is gastric decompression?
Gastric decompression, including maintenance of a decompressed state after endotracheal intubation, often via the oropharynx. Relief of symptoms and bowel rest in the setting of small-bowel obstruction. Aspiration of gastric content from recent ingestion of toxic material. Administration of medication. Feeding.
How long to wait for lidocaine injection?
In pediatric patients, do not exceed 4 mg/kg of lidocaine. Wait 5-10 minutes to ensure adequate anesthetic effect. Estimate the length of insertion by measuring the distance from the tip of the nose, around the ear, and down to just below the left costal margin.
What are the complications of a nasogastric tube?
Complications of Nasogastric Tube Insertion 1 Nasopharyngeal trauma with or without hemorrhage 2 Sinusitis and sore throat 3 Pulmonary aspiration 4 Traumatic esophageal or gastric hemorrhage or perforation 5 Intracranial or mediastinal penetration (very rare)
What is a nasogastric tube?
Videos (1) A nasogastric tube placed into the stomach allows for access to the inside of the stomach. Sometimes the tube is passed into the small intestine to allow enteric feeding. (See also Nasogastric or Intestinal Intubation and Enteral Tube Nutrition .)
What is used to stiffen intestinal feeding tubes?
When placing a smaller, more flexible intestinal feeding tube, a wire or stylet is used to stiffen the tube. These tubes usually require fluoroscopic or endoscopic assistance for passage through the pylorus.
Should a patient have an airway protected with an endotracheal tube?
Patients who are at increased risk of aspiration, such as those with altered mental status, should have their airway protected with an endotracheal tube with the cuff inflated before placement of the nasogastric tube.
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Can you aspirate gastric contents?
Aspirate gastric contents to further confirm placement in the stomach (sometimes no gastric contents can be aspirated even when the tube is properly positioned in the stomach). Sometimes a chest x-ray is needed to definitively confirm the location of the tube in the stomach.
What is NG tube intubation?
Gastric intubation via the nasal passage (ie, the nasogastric route) is a common procedure that provides access to the stomach for diagnostic and therapeutic purposes. A nasogastric (NG) tube is used for the procedure. The placement of an NG tube can be uncomfortable for the patient if the patient is not adequately prepared with anesthesia to ...
What is gastric decompression?
Gastric decompression, including maintenance of a decompressed state after endotracheal intubation, often via the oropharynx. Relief of symptoms and bowel rest in the setting of small-bowel obstruction. Aspiration of gastric content from recent ingestion of toxic material. Administration of medication. Feeding.
What is a nasogastric tube?
A nasogastric or NG tube is a plastic tubing device that allows delivery of nutritionally complete feed directly into the stomach; or removal of stomach contents. It is passed via the nose into the oropharynx and upper gastrointestinal tract.
Where to place NG tube?
Measure the NG tube. Place the NG tube in a position running from the bridge of the patient’s nose, to the ear lobe and down to the xiphisternum.
