Inserting a nasogastric tube

McCONNELL, Edwina A.

doi:10.1097/00152193-199701000-00026

Cited by 7 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kinking and coiling of the NG tube were the most common complications in this study, which is consistent with previous reports. 2 , 17 Repeated attempts and instrumentation have been reported to increase the incidence of traumatic bleeding. 2 In this study, there were lower incidences of kinking, coiling, and bleeding in the lifting of the thyroid cartilage and neck flexion groups than in the control group.…”

Section: Discussionmentioning

confidence: 99%

“…The NG tube length required to reach the stomach was estimated by measuring the distance from the patient’s xiphoid process to the earlobe via the nose. 17 The procedure start time was defined as when the NG tube was inserted into the chosen nostril. The end time was defined as the time after the successful insertion was verified by epigastric auscultation and aspiration of gastric contents.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

A comparison of nasogastric tube insertion techniques without using other instruments in anesthetized and intubated patients

Illias

Hui

Lin

et al. 2013

Annals of Saudi Medicine

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVESSeveral techniques are available to facilitate nasogastric (NG) tube insertion with or without using other instruments to guide the NG tube to the stomach. This study aimed to determine the success rate and time required for inserting NG tube by 2 non-instrumental methods of NG tube insertion and compare the findings with the common method of NG tube insertion.DESIGN AND SETTINGSA prospective randomized, controlled clinical trial carried out at Chang Gung Memorial Hospital in Taiwan.SUBJECTS AND METHODSA total of 150 patients were randomized into 3 groups: control group, neck flexion with lateral pressure group, and lifting of the larynx group. The number of attempted insertions, success rate, duration of insertion, and various complications were recorded.RESULTSBoth neck flexion with lateral pressure and lifting of the thyroid cartilage techniques had high success rates; however, the time required to insert the NG tube was shortest in the thyroid cartilage lifting group.CONCLUSIONNeck flexion with lateral pressure and lifting of the thyroid cartilage are convenient and reliable techniques for NG tube insertion without using any other instruments. Lifting of the thyroid cartilage had the highest success rate and was less time consuming than the other NG tube insertion techniques. Familiarization with the procedure influenced the success rate and the time required for insertion.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A comparison of nasogastric tube insertion techniques without using other instruments in anesthetized and intubated patients

Illias

Hui

Lin

et al. 2013

Annals of Saudi Medicine

View full text Add to dashboard Cite

show abstract

“…We determined the necessary NGT length required to reach the stomach by measuring the distance from the patient’s xiphoid process to the closer earlobe via the nose [9]. The start time was defined as when the NGT was inserted into the nostril.…”

Section: Methodsmentioning

confidence: 99%

Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method

et al. 2012

View full text Add to dashboard Cite

BackgroundThe “Rusch” intubation stylet is used to make endotracheal tube intubation easy. We designed this study to evaluate the usage of this equipment in the guidance of nasogastric tube (NGT) insertion.MethodsA total of 103 patients, aged 23 to 70 years, undergoing gastrointestinal or hepatic surgeries that required intraoperative NGT insertions were enrolled into our study. The patients were randomly allocated to the control group (Group C) or the stylet group (Group S) according to a computerized, random allocation software program. In the control group, the NGT was inserted with the patient’s head in an intubating position. In the stylet group, the NGT was inserted with the assistance of a “Rusch” intubation stylet tied together at the tips by a slipknot. The success rates of the two methods, the durations of the insertions, and the occurrences of complications were recorded. All of the failed cases in the control group were subjected to the new technique used in the stylet group, and the successful rescue rate was also evaluated.ResultsSuccessful insertions were recorded for 52/53 patients (98.1%) in Group S and for 32/50 patients (64%) in Group C. The mean insertion times were 39.5 ± 19.5 seconds in Group C and 40.3 ± 23.2 seconds in Group S. Successful rescues of failure cases in Group C were achieved in 17/18 patients (94.4%) with the assistance of a “Rusch” intubation stylet.ConclusionsThe “Rusch” intubation stylet-guided method is reliable with a high success rate of NGT insertion in anesthetized and intubated patients.Trial registrationInstitutional Review Board of Chang Gung Memorial Hospital (IRB: 98-2669B) and Australian New Zealand Clinical Trials Registry (ACTRN12611000423910)

show abstract

“…Using macintosh laryngoscope or glidescope with assistance of magill forceps [26,27] Ultrasonography Nose bleed Infectious complications [10] Neck flexion Uretral guidewire [25] Nex method [14,15] Sinusitis [46] And intracranial placementand central nervous system complications [48] Lateral head positioning I-gel [28,29] Under water vaccum effect [35] Parotitis [46] Nose erosion/ /nasal aral necrosis [49] Anterior displacement of the mandible (and a group of older techniques) [21] Proseal LMA [28,29] Aspirate colors [35] Sore throat Laryngeal edema with asphyxia…”

Section: By Equipment Minor Majormentioning

confidence: 99%

“…Proper selection of size, assessment of correct position and the method of fixing are some of the easiest methods to prevent complications [46]. Complications may be minor such as nose bleeds, sinusitis, tube decompression or breakage, kinking and coiling of the NGT (the most common complication of NGT placement) or may be major such as nose erosion, esophageal or tracheobronchial perforation, laryngeal oedema with asphyxia, pulmonary aspiration, pneumothorax and intracranial placement [45,51,83].…”

Section: Complicationsmentioning

confidence: 99%

Nasogastric tube insertion in anaesthetized patients: a comprehensive review

Sanaie

Mahmoodpoor

Najafi

2017

Anaesthesiol Intensive Ther

View full text Add to dashboard Cite

Nasogastric tubes (NGT) still remain the easiest and the best way for gastrointestinal tract access. There are various indications for the insertion of a nasogastric tube in anaesthetized and critically ill patients. Although many techniques have been introduced to facilitate nasogastric tube insertion using anatomic landmarks and a group of devices, there is no consensus on a standard method. Moreover, there are different methods for the assessment of the correct placement of a nasogastric tube. In addition to these challenges in insertion and assessment methods, there are varieties of major life-threatening and minor complications to be addressed. Thus, selecting the most appropriate approach requires enough knowledge in this area, considering patient condition and clinical factors, as well as the practitioners' sufficient education and experience, along with skill in performance. This is a comprehensive review of the literature evidence on different methods for nasogastric tube insertion, on the assessment of correct placement and the evaluation of complications, in addition to an approach to the effect of education on the quality of routine practice and patients' outcome.

show abstract

Inserting a nasogastric tube

Cited by 7 publications

References 0 publications

A comparison of nasogastric tube insertion techniques without using other instruments in anesthetized and intubated patients

A comparison of nasogastric tube insertion techniques without using other instruments in anesthetized and intubated patients

Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method

Nasogastric tube insertion in anaesthetized patients: a comprehensive review

Contact Info

Product

Resources

About