Nasogastric tube placement - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:47:03Z

Prepared the page for translation

← Older revision		Revision as of 23:47, 4 January 2026
Line 1:		Line 1:
			<languages/>
			<translate>

	==Indications==		==Indications==

	[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]		[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
	[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]		[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
	[[File:Illu esophagus.jpg\|thumb\|Esophagus anatomy and nomenclature based on two systems.]]		[[File:Illu esophagus.jpg\|thumb\|Esophagus anatomy and nomenclature based on two systems.]]
	*Gastric decompression		*Gastric decompression
	**Post-[[intubation]]		**Post-[[Special:MyLanguage/intubation\|intubation]]
	**[[Bowel obstruction]]/[[ileus]]		**[[Special:MyLanguage/Bowel obstruction\|Bowel obstruction]]/[[Special:MyLanguage/ileus\|ileus]]
	**[[acute gastric dilation\|Acute gastric distension]]		**[[Special:MyLanguage/acute gastric dilation\|Acute gastric distension]]
	*Aspiration of gastric contents		*Aspiration of gastric contents
	**Diagnosis/therapy of [[GI bleed]])		**Diagnosis/therapy of [[Special:MyLanguage/GI bleed\|GI bleed]])
	**Gastric lavage in [[Toxicology\|acute poisonings]] (largely abandoned due to lack of efficacy)		**Gastric lavage in [[Special:MyLanguage/Toxicology\|acute poisonings]] (largely abandoned due to lack of efficacy)


	==Contraindications==		==Contraindications==
	*Severe [[facial trauma]] (due to possible cribriform plate disruption)
			*Severe [[Special:MyLanguage/facial trauma\|facial trauma]] (due to possible cribriform plate disruption)


	===Relative Contraindications===		===Relative Contraindications===
	*Severe [[coagulopathy]]
	*[[gastric bypass surgery\|Gastric bypass]] and [[lap band complications\|lap band procedures]]		*Severe [[Special:MyLanguage/coagulopathy\|coagulopathy]]
	*[[Esophageal varices]]/strictures		*[[Special:MyLanguage/gastric bypass surgery\|Gastric bypass]] and [[Special:MyLanguage/lap band complications\|lap band procedures]]
	*History of [[caustic ingestion\|alkali ingestion]]		*[[Special:MyLanguage/Esophageal varices\|Esophageal varices]]/strictures
			*History of [[Special:MyLanguage/caustic ingestion\|alkali ingestion]]


	==Equipment Needed==		==Equipment Needed==

	*PPE		*PPE
	*NG Tube- typically a 16F or 18F Sump		*NG Tube- typically a 16F or 18F Sump
Line 27:		Line 37:
	*Emesis basin		*Emesis basin
	*Cup of water with straw		*Cup of water with straw


	==Procedure==		==Procedure==
	[[File:ETTubeandNGtubeMarked.png\|thumb\|Nasogastric tube below the diaphragm and in the stomach in correct position as seen on [[CXR]] (bottom arrow).]]
			[[File:ETTubeandNGtubeMarked.png\|thumb\|Nasogastric tube below the diaphragm and in the stomach in correct position as seen on [[Special:MyLanguage/CXR\|CXR]] (bottom arrow).]]
	#Consent by informing patient of risk, benefits, and alternatives		#Consent by informing patient of risk, benefits, and alternatives
	#Position patient upright		#Position patient upright
Line 39:		Line 51:
	#Provide relief from discomfort		#Provide relief from discomfort
	#*Topical vasoconstrictors to both nares		#*Topical vasoconstrictors to both nares
	#**[[Oxymetazoline]] or [[phenylephrine]]		#**[[Special:MyLanguage/Oxymetazoline\|Oxymetazoline]] or [[Special:MyLanguage/phenylephrine\|phenylephrine]]
	#*Topical Anesthetics (5 min prior to procedure)		#*Topical Anesthetics (5 min prior to procedure)
	#**[[Benzocaine]], [[tetracaine]], nebulized [[lidocaine]] (4 or 10%), lidocaine jelly		#**[[Special:MyLanguage/Benzocaine\|Benzocaine]], [[Special:MyLanguage/tetracaine\|tetracaine]], nebulized [[Special:MyLanguage/lidocaine\|lidocaine]] (4 or 10%), lidocaine jelly
	#**Anesthetize oropharynx, as well, to prevent gagging		#**Anesthetize oropharynx, as well, to prevent gagging
	#*Antiemetics		#*Antiemetics
	#**[[Ondansetron]] or [[metoclopramide]] 15 min prior may reduce gagging and nausea		#**[[Special:MyLanguage/Ondansetron\|Ondansetron]] or [[Special:MyLanguage/metoclopramide\|metoclopramide]] 15 min prior may reduce gagging and nausea
	#Insert tube along floor of nose under inferior turbinate		#Insert tube along floor of nose under inferior turbinate
	#Pause when NGT is in OP		#Pause when NGT is in OP
Line 61:		Line 73:
	#Secure to patients nose with tape		#Secure to patients nose with tape
	#Attach to desired suction, not to exceed 120 mmHg		#Attach to desired suction, not to exceed 120 mmHg


	==Complications==		==Complications==

	*Pulmonary placement		*Pulmonary placement
	*Intracranial placement		*Intracranial placement
	*Increased cervical and cranial pressures with gagging/vomiting		*Increased cervical and cranial pressures with gagging/vomiting
	*[[Epistaxis]]		*[[Special:MyLanguage/Epistaxis\|Epistaxis]]
	*Invagination of stomach lumen into eyes of NGT		*Invagination of stomach lumen into eyes of NGT


	==See Also==		==See Also==
	*[[Upper gastrointestinal bleeding]]
	*[[Small bowel obstruction]]		*[[Special:MyLanguage/Upper gastrointestinal bleeding\|Upper gastrointestinal bleeding]]
	*[[EBQ:Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis]]		*[[Special:MyLanguage/Small bowel obstruction\|Small bowel obstruction]]
			*[[EBQ:Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis\|EBQ:Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis]]


	==External Links==		==External Links==

	*[https://litfl.com/nasogastric-and-orogastric-tubes/ LITFL: Nasogastric and Orogastric Tubes]		*[https://litfl.com/nasogastric-and-orogastric-tubes/ LITFL: Nasogastric and Orogastric Tubes]
	*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/how-to-do-gastrointestinal-procedures/how-to-insert-a-nasogastric-tube?query=nasogastric%20tube Merk Manual - How To Insert a Nasogastric Tube]		*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/how-to-do-gastrointestinal-procedures/how-to-insert-a-nasogastric-tube?query=nasogastric%20tube Merk Manual - How To Insert a Nasogastric Tube]


	===Videos===		===Videos===

	*Insertion		*Insertion
	**Tulane (2:55) https://www.youtube.com/watch?v=1OakmxZDa5c		**Tulane (2:55) https://www.youtube.com/watch?v=1OakmxZDa5c
	*Unclogging NG Tube:		*Unclogging NG Tube:
	**Providence Health (3:53) https://www.youtube.com/results?search_query=unclogging+g+tube+emergency+medicine		**Providence Health (3:53) https://www.youtube.com/results?search_query=unclogging+g+tube+emergency+medicine


	==References==		==References==

	<references/>		<references/>

	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:GI]]		[[Category:GI]]
			</translate>

Rossdonaldson1: /* Indications */

2024-02-07T22:33:13Z

Indications

← Older revision		Revision as of 22:33, 7 February 2024
Line 1:		Line 1:
	==Indications==		==Indications==
			[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
			[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
			[[File:Illu esophagus.jpg\|thumb\|Esophagus anatomy and nomenclature based on two systems.]]
	*Gastric decompression		*Gastric decompression
	**Post-[[intubation]]		**Post-[[intubation]]

Blsimpso: /* External Links */

2021-07-16T00:38:26Z

External Links

← Older revision		Revision as of 00:38, 16 July 2021
Line 73:		Line 73:
	==External Links==		==External Links==
	*[https://litfl.com/nasogastric-and-orogastric-tubes/ LITFL: Nasogastric and Orogastric Tubes]		*[https://litfl.com/nasogastric-and-orogastric-tubes/ LITFL: Nasogastric and Orogastric Tubes]
	*[https://~~emedicine~~.~~medscape~~.com/~~article~~/~~80925~~-~~overview#showall Medscape~~ - Nasogastric ~~Intubation~~]		*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/how-to-do-gastrointestinal-procedures/how-to-insert-a-nasogastric-tube?query=nasogastric%20tube Merk Manual - How To Insert a Nasogastric Tube]

	===Videos===		===Videos===

Rossdonaldson1: /* Procedure */

2021-07-08T22:22:34Z

Procedure

← Older revision		Revision as of 22:22, 8 July 2021
Line 26:		Line 26:

	==Procedure==		==Procedure==
			[[File:ETTubeandNGtubeMarked.png\|thumb\|Nasogastric tube below the diaphragm and in the stomach in correct position as seen on [[CXR]] (bottom arrow).]]
	#Consent by informing patient of risk, benefits, and alternatives		#Consent by informing patient of risk, benefits, and alternatives
	#Position patient upright		#Position patient upright

Blsimpso: /* External Links */

2021-07-02T15:59:44Z

External Links

← Older revision		Revision as of 15:59, 2 July 2021
Line 72:		Line 72:
	==External Links==		==External Links==
	*[https://litfl.com/nasogastric-and-orogastric-tubes/ LITFL: Nasogastric and Orogastric Tubes]		*[https://litfl.com/nasogastric-and-orogastric-tubes/ LITFL: Nasogastric and Orogastric Tubes]
			*[https://emedicine.medscape.com/article/80925-overview#showall Medscape - Nasogastric Intubation]

	===Videos===		===Videos===
	*Insertion		*Insertion

Elcatracho: /* External Links */

2021-02-19T01:08:34Z

External Links

← Older revision		Revision as of 01:08, 19 February 2021
Line 71:		Line 71:

	==External Links==		==External Links==
			*[https://litfl.com/nasogastric-and-orogastric-tubes/ LITFL: Nasogastric and Orogastric Tubes]
	===Videos===		===Videos===
	*Insertion		*Insertion

Elcatracho: /* Indications */

2021-02-19T01:06:55Z

Indications

← Older revision		Revision as of 01:06, 19 February 2021
Line 6:		Line 6:
	*Aspiration of gastric contents		*Aspiration of gastric contents
	**Diagnosis/therapy of [[GI bleed]])		**Diagnosis/therapy of [[GI bleed]])
	**Gastric lavage in acute poisonings (largely abandoned due to lack of efficacy)		**Gastric lavage in [[Toxicology\|acute poisonings]] (largely abandoned due to lack of efficacy)

	==Contraindications==		==Contraindications==

Elcatracho: /* Indications */

2021-02-19T01:05:58Z

Indications

← Older revision		Revision as of 01:05, 19 February 2021
Line 4:		Line 4:
	**[[Bowel obstruction]]/[[ileus]]		**[[Bowel obstruction]]/[[ileus]]
	**[[acute gastric dilation\|Acute gastric distension]]		**[[acute gastric dilation\|Acute gastric distension]]
	*Aspiration of gastric contents ~~(e.g. for diagnosis~~/therapy of [[GI bleed]])		*Aspiration of gastric contents
			**Diagnosis/therapy of [[GI bleed]])
			**Gastric lavage in acute poisonings (largely abandoned due to lack of efficacy)

	==Contraindications==		==Contraindications==

Rossdonaldson1: /* See Also */

2021-02-18T17:27:14Z

Rossdonaldson1: Rossdonaldson1 moved page Nasogastric tube to Nasogastric tube placement

2021-02-18T17:21:13Z

Rossdonaldson1 moved page Nasogastric tube to Nasogastric tube placement

← Older revision	Revision as of 17:21, 18 February 2021
(No difference)

← Older revision		Revision as of 17:27, 18 February 2021
Line 67:		Line 67:
	*[[Small bowel obstruction]]		*[[Small bowel obstruction]]
	*[[EBQ:Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis]]		*[[EBQ:Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis]]

			==External Links==

			===Videos===
			*Insertion
			**Tulane (2:55) https://www.youtube.com/watch?v=1OakmxZDa5c
			*Unclogging NG Tube:
			**Providence Health (3:53) https://www.youtube.com/results?search_query=unclogging+g+tube+emergency+medicine

	==References==		==References==