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Gastric CatheterizationAka: Nasogastric Tube, NG tube
- Indications
- Reduces stomach distention
- Reduces risk of aspiration
- Prolonged Positive Pressure Ventilation
- Contraindications
- Cribriform plate Fracture
- Maxillofacial trauma
- Tube Measurement (estimating length)
- NEX Method
- Bridge of nose to earlobe to xyphoid process
- Note centimeter mark at this point of tube
- Scalzo method
- Nasal Insertion Length: (0.25 x height in cm) + 13
- NEX Method
- Preparation
- Topical Decongestant (decreases Epistaxis risk)
- Oxymetazoline (Afrin) 0.05% nasal spray or
- Phenylephrine (Neo-Synephrine) 0.5% nasal spray
- Topical Anesthesia options
- References
- Topical Decongestant (decreases Epistaxis risk)
- Protocol: Discontinuing in Resolving Ileus (Adults)
- Instill Milk of Magnesia 3 ounces via NG Tube
- Clamp nasogastric tube for 8 hours
- Unclamp tube and aspirate residual stomach contents
- Discontinue NG tube if Residual Volume <120 cc
- Stomach normally secretes several liters in a day
- Small Residual Volume suggests adeguate drainage
Nasogastric tube procedures (C0812428) | |
|---|---|
| Concepts | Therapeutic or Preventive Procedure (T061) |
| English | Nasogastric tube, Nasogastric tube procedures |
| Parent Concepts | MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (C0178380) |
| Sources | CCS, MTH Derived from the NIH UMLS (Unified Medical Language System) |
