It can be used to remove the contents of the stomach, including air, to decompress the stomach, or to remove small solid objects and fluid, such as poison, from the stomach. As enzyme testing becomes more practical, allowing measurements to be taken quickly and cheaply at the bedside, this technique may be used in combination with pH testing as an effective, less harmful replacement of X-ray confirmation. Nasogastric tube: A tube that is passed through the nose and down through the nasopharynx and esophagus into the stomach. "Surgery, biopsies, X-rays, ultrasounds, CT and MRI scans, hair loss, weight loss, 29 consecutive nights in hospital, blood transfusions, He was admitted to the local acute hospital for, Mrs Pierce now works in the emergency department where she no longer needs to insert, Each capsule's contents can be swallowed whole, put on food, sprinkled directly into the patient's mouth or administered via a G-tube or, Dictionary, Encyclopedia and Thesaurus - The Free Dictionary, the webmaster's page for free fun content, 'Despite the pain, anguish and disruption we still regularly see Ben's beautiful smile' little ben is determined to 'keep passing the smiles', Excerpted From: Initial assessment and management of burn patients, Patient, 25, with undiagnosed bowel obstruction dies during surgery, Verifying the Placement of Nasogastric Tubes at an Emergency Center: Comparison of Ultrasound with Chest Radiograph, A 13-Year-Old with Coexistence of Gastric Volvulus and Leprosy: A Case Report of Two Rare Entities, Pervasive Refusal Syndrome in Autistic Spectrum Disorder, OAP died after feeding tube was put in his lung, Therapeutic efficacy of nutritional support by percutaneous endoscopic gastrostomy in critically ill patients: A self-control clinical trial, Clinical Factors of Delayed Perforation after Endoscopic Submucosal Dissection for Gastric Neoplasms, Nasogastric Tube Feeding-Induced Esophageal Bezoar: Case Description, "Black Esophagus" or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis. Once the tube is past the pharynx and enters the esophagus, it is easily inserted down into the stomach. If the tube is to be used for continuous drainage, it is usually appended to a collector bag placed below the level of the patient's stomach; gravity empties the stomach's contents. This is the most reliable means of ensuring proper placement of an NG tube. A nasogastric tube is used for feeding and administering drugs and other oral agents such as activated charcoal. Treatment with 2.0 mg of IV midazolam greatly reduces patient stress. Abraham Louis Levin invented the NG tube. If the pH is 4 or below then the tube is in the correct position. [1] Abraham Louis Levin invented the NG tube. [citation needed], Sometimes more significant complications occur including erosion of the nose where the tube is anchored, esophageal perforation, damage to a surgical anastomosis, pulmonary aspiration, a collapsed lung, or intracranial placement of the tube. [citation needed], A request that this article title be changed to, Stomach tube (Levin type), 18 Fr × 48 in (121 cm), "Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition", "A systematic review of the effectiveness and complications of using nasal bridles to secure nasoenteral feeding tubes", "Confirmation of Nasogastric/Orogastric Tube (NGT/OGT) Placement", "A breath of fresh air: a quality-improvement study comparing an air-circulating technique versus conventional technique to prevent nasogastric tube dysfunction", surgical procedures involving the digestive system, Transjugular intrahepatic portosystemic shunt, https://en.wikipedia.org/w/index.php?title=Nasogastric_intubation&oldid=980045008, Articles with unsourced statements from March 2019, Creative Commons Attribution-ShareAlike License, This page was last edited on 24 September 2020, at 08:32. Special attention is necessary during insertion under these circumstances in order to avoid undue trauma to the esophagus. There is also a greater risk to patients suffering from bleeding disorders, particularly those resulting from the distended sub-mucosal veins in the lower third of the esophagus known as esophageal varices which may be easily ruptured due to their friability and also in GERD. If feeding is required for a longer period of time, other options, such as placement of a PEG tube, should be considered.