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Nasogastric Tubes
 
 

Confirmation

 
 
 
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On this page:Confirming NG Placement
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Confirming NG Placement

  • Instil air - use a syringe to inject air into the NG while auscultating over the epigastrium, listening for a gurgling sound. This should not be used as the sole method of checking placement.
  • Aspirate - aspirate stomach contents and check the pH (<5.5) using litmus paper.
  • Chest x-ray - ensure that the distal tip and side hole are below the diaphgram.
 
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 Bong CL, Macachor JD, Hwang NC. Insertion of the nasogastric tube made easy. The Journal of the American Society of Anesthesiologists. 2004 Jul 1;101(1):266-.
Metheny NA, Meert KL, Clouse RE. Complications related to feeding tube placement. Current opinion in gastroenterology. 2007 Mar 1;23(2):178-82.
Pancorbo?Hidalgo PL, García?Fernandez FP, Ramírez?Pérez C. Complications associated with enteral nutrition by nasogastric tube in an internal medicine unit. Journal of clinical nursing. 2001 Jul 20;10(4):482-90.
 Pandey AK, Ak S, Diyora BD, Sayal PP, Ingale HA, Radharkrishnan M. Inadvertent insertion of nasogastric tube into the brain. JAPI. 2004 Apr 8;52:322-33. Pillai JB, Vegas A, Brister S. Thoracic complications of nasogastric tube: review of safe practice. Interactive cardiovascular and thoracic surgery. 2005 Oct 1;4(5):429-33.