https://idwiki.org/index.php?action=history&feed=atom&title=Nasogastric_tube_insertion 2026-05-16T03:34:40Z Revision history for this page on the wiki MediaWiki 1.43.8 https://idwiki.org/index.php?title=Nasogastric_tube_insertion&diff=7603&oldid=prev 2021-02-23T19:36:02Z

<p>Created page with &quot;== Contraindications == * Nasal fractures * Anterior basal skull fracture * Sinusitis * Epistaxis * INR &gt;2 (relative) == Preparation == * Collect equipment, including lubri...&quot;</p> <p><b>New page</b></p><div>== Contraindications ==<br /> <br /> * Nasal fractures<br /> * Anterior basal skull fracture<br /> * Sinusitis<br /> * Epistaxis<br /> * INR &gt;2 (relative)<br /> <br /> == Preparation ==<br /> <br /> * Collect equipment, including lubricant gel, NG tube, 60 mL slip-tip syringe, free water for flushing, tape, and PPE (gloves and gown)<br /> <br /> == Procedure ==<br /> <br /> * Preparation<br /> ** Estimate length of tubing to get to 5 cm below carina.<br /> *** Measure tip of nose to ear to xyphoid process and subtract 10 cm.<br /> *** This should be around 10 cm more than the ETT, if they have one.<br /> *** Typically around 30 to 35 cm.<br /> ** Dip NG tip in water, flush tube with water, then flush out water with air.<br /> ** Lubricate tip of NG tube.<br /> ** Sit patient upright with head of bed around 45 degrees.<br /> * Step 1<br /> ** Cap the medication port at the Y connector, and firmly attach an empty syringe to the guidewire end.<br /> ** Insert to predetermined length.<br /> *** Ask patient to swallow sips of water during insertion to ensure esophageal rather than tracheal placement.<br /> *** If resistance, gently twist or turn the tube and try again, then try on other nare.<br /> ** Attempt to aspirate. If resistance is felt, then likely in esophagus; if easily aspirates air, the likely in trachea.<br /> ** Use chest x-ray to rule out airway placement.<br /> ** If not yet 5 cm below carina, then advance tube and reimage.<br /> ** Document the distance inserted.<br /> * Step 2<br /> ** Advance the tube to predetermined marking, usually another 20 cm.<br /> ** Use abdominal x-ray to confirm placement in the stomach<br /> <br /> [[Category:Procedures]]</div>

Aidan