A critical point of nasogastric feeding tube placement, potentially resulting in an unsafe and/or non-effective operation of the device, is the monitoring of its proper placement into the stomach. A properly obtained and interpreted radiograph is currently recommended to confirm placement. We reported the case of a 68-year-old demented woman referred for complicated dysphagia. A nasogastric tub...

In 2004 the MHRA published a directive for all hospitals in the UK to use pH paper in place of litmus paper when testing position of nasogastric tubes (NGT). This article illustrates one trust's implementation of this process of change in order to achieve compliance.

The placement of nasogastric (NG) tubes is known to be prone to error and may lead to serious issues for patient safety and wellbeing. In some instances these have been catastrophic and resulted in the death of the patient. This study sought to explore the potential risks associated with this procedure through the use of systematic prospective risk assessment. The research team used the Prospec...

Placements of central venous lines (CVC), percutaneous intrathoracic drains (ITDs), and nasogastric tubes (NGTs) are some of the most common interventional procedures performed on patients that are unconscious and in almost all intensive care/high dependency patients in one form or the other. These are standard procedures within the remit of physicians, and other trained health professionals. P...

Background: The RightSpotpHTM indicator is a new device designed to facilitate pH-based confirmation of nasogastric tube placement while minimizing exposure of the operator to nasogastric contents. Study objectives: In vivo and in vitro validation of the RightSpotpHTM indicator. Findings: Patients (23) undergoing general anesthesia had placement of a nasogastric tube and gastric pH electrode ca...

We present a case of chronic benign tracheo-oesophageal fistula in an immunologically competent elderly female, cured with a period of nasogastric feeding.

OBJECTIVE Current guidelines recommend enteral nutrition in critically ill adults; however, poor gastric motility often prevents nutritional targets being met. We hypothesized that early nasojejunal nutrition would improve the delivery of enteral nutrition. DESIGN Prospective, randomized, controlled trial. SETTING Seventeen multidisciplinary, closed, medical/surgical, intensive care units i...

PURPOSE The optimal delivery medium for esomeprazole magnesium enteric-coated pellets dispersed in various concentrations of Ora-Plus suspension through commonly used nasogastric and gastrostomy tubes using a previously used standardized in vitro protocol was studied. METHODS The study was conducted in two phases. In phase A, 60 size 14 French nasogastric tubes were used to compare esomeprazo...

Problems identified by the National Patient Safety Agency Analysis of incidents involving placement of nasogastric feeding tubes since 2005 suggested that misinterpretation of x ray images was the largest single contributory factor, accounting for about half of all serious incidents and deaths. Other f ndings indicated that healthcare professionals were not following the original NPSA guidance....