Rechecking the position of the nasogastric tube after oropharyngeal suction is not common practice. Our patient deteriorated after oropharyngeal suction was performed, whilst nasogastric feeding continued. We suggest that nasogastric feeding should be stopped during oropharyngeal suction and the tube position should be checked every time an oropharyngeal suction is performed.

OBJECTIVE Despite evidence supporting its use, nasogastric rehydration is rarely used in North America. We conducted a prospective, cross-sectional, 3-phase study to evaluate current perspectives. METHODS We compared the proportions of respondents in favor of nasogastric (as opposed to intravenous) rehydration, should oral rehydration fail, between clinicians and caregivers. Phase 1: caregive...

background and purpose: inserting a nasogastric tube, though a common clinical procedure with widespread use for critically ill patients, can produce unexpected complications so that tube misplacement into the lungs is a potential complication with serious consequences. the reliability of common bedside methods to differentiate between pulmonary and gastric placement has not been acceptable. th...

BACKGROUND An assumption of clinical competency is no longer acceptable or feasible in routine clinical practice. We sought to determine the feasibility, practicability and efficacy of undertaking a formal assessment of clinical competency for all postgraduate medical trainees in a large NHS foundation trust. METHODS FY1 doctors were asked to complete a questionnaire to determine prior experi...

Nasogastric tube has a key role in the management of substantial number of hospitalized patients particularly the critically ill. In spite of the apparent simple insertion technique, nasogastric tube placement has its serious perhaps fatal complications which need to be carefully assessed. Pulmonary misplacement and associated complications are commonplace during nasogastric tube procedure. We ...

OBJECTIVE To investigate the efficacy and safety of lidocaine nasal spray before nasogastric tube insertion in an emergency department. DESIGN Double-blind, randomised controlled study. SETTING Emergency department of a major regional hospital in Hong Kong. PATIENTS A total of 206 adult patients, for whom nasogastric tube insertion was indicated. MAIN OUTCOME MEASURES Primary outcome wa...

We reported a case in which a nasogastric tube was inserted into the gastrocutaneous fistula, diagnosed by abdominal computed tomography. A 78-year-old man with a history of recurrent cerebral hemorrhage had a percutaneous endoscopic gastrostomy tube due to dysphagia for 2 years. However, soft tissue infection at the gastrostomy site caused the removal of the tube. Immediately, antibiotic agent...

BACKGROUND AND STUDY AIMS Nasogastric intubation, one of the most widely utilized therapeutic procedures in medical practice, is associated with trauma, pain, and discomfort, which can occur both at insertion and during the indwelling phase. Although lubricating jelly is useful during the insertion phase, insertion can still cause great discomfort. Furthermore, the jelly is rapidly absorbed and...

It is sometimes difficult to insert a nasogastric tube in an anaesthetized patient. We evaluated the benefit of reinforcing the distal portion of the nasogastric tube with a Nelaton catheter: 8 and 10 French Nelaton catheters were inserted into 16 and 18 French nasogastric tubes respectively through the first proximal holes of tubes up to their tips. The patients anaesthetized were randomly all...

BACKGROUND In a previous study we showed that prolonged nasogastric tube feeding is associated with pathogenic oral flora. OBJECTIVE To reexamine the impact of prolonged nasogastric tube feeding on the oral microbiota and to explore the salivary flow and composition in elderly patients in long-term care. METHODS We compared a group of elderly patients fed by nasogastric tube with a control ...