Evolving Therapeutic Roles of Nasogastric Tubes: Current Concepts in Clinical Practice.

Nalini Vadivelu, Gopal Kodumudi, Lisa R Leffert, Doris C Pierson, Laura K Rein, Matthew S Silverman, Elyse M Cornett, Alan D Kaye

Journal: Advances in therapy 2023;40(3):828-843

PMID: 36637690

Abstract

Nasogastric tubes (NGT) have been in use for over 100 years and are still considered as essential and resuscitative tools in multiple medical specialties for acute and chronic care. They are vital for decompression of the stomach in the presence of bowel obstruction in the critically ill and useful as a conduit for the administration of medications and sometimes for short term parenteral nutrition. The placement of nasogastric tubes is relatively routine. However, they must be inserted and maintained safely and effectively to avoid serious and possibly even fatal associated complications. This review focuses on recent updates in research regarding nasogastric tubes. Cognizance of the recent advances in indications, contraindications, techniques of insertion, confirmation of correct positioning, securement, complications, management of complications, and state of the art research about the nasogastric tube is crucial for practitioners of all medical and surgical specialties.

© 2023. The Author(s), under exclusive licence to Springer Healthcare Ltd., part of Springer Nature.

Address: Department of Anesthesiology, Yale University School of Medicine, 333, Cedar Street, New Haven, CT, 06520, USA.; Department of Anesthesiology, Louisiana State University Health Sciences Center at Shreveport, 1501 Kings Hwy, Shreveport, LA, 71103, USA.; Department of Anesthesiology, Louisiana State University Health Sciences Center at Shreveport, 1501 Kings Hwy, Shreveport, LA, 71103, USA. [email protected].; Department of Anesthesiology, Louisiana State University Health Sciences Center at New Orleans, 1542 Tulane Avenue Room 659, New Orleans, LA, 70112, USA. [email protected].
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