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Videos in Clinical Medicine
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Volume 354:e16 April 27, 2006 Number 17
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Nasogastric Intubation
Todd W. Thomsen, M.D., Robert W. Shaffer, M.D., and Gary S. Setnik, M.D.

Since this article has no abstract, below are the first 100 words from the narration of this Video in Clinical Medicine and its chapter headings.

 
 

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Figure 1
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Common indications for nasogastric intubation include decompression of the GI tract in patients with bowel obstruction and gastric emptying in intubated patients to prevent aspiration. NG tubes may be placed as an adjunct for the delivery of oral agents, such as activated charcoal or oral radiographic contrast medium. NG tubes are often placed in patients with suspected upper GI hemorrhage. However, the sensitivity and negative predictive value of nasogastric aspirates for detecting active bleeding is suboptimal, and the absence of bloody return cannot be relied upon to rule out hemorrhage. Nonetheless, nasogastric intubation may be useful in selected patients. Evacuation . . . . View Video

Chapters:

  • Introduction
  • Indications
  • Contraindications
  • Equipment
  • Preparation
  • Tube Insertion
  • Confirmation
  • Securing the tube
  • Complications

 
References

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  2. Fuller RK, Loveland JP, Frankel MH. An evaluation of the efficacy of nasogastric suction treatment in alcoholic pancreatitis. Am J Gastroenterol 1981;75:349-353. [Medline]
  3. Naeije R, Salingret E, Clumeck N, De Troyer A, Devis G. Is nasogastric suction necessary in acute pancreatitis? Br Med J 1978;2:659-660. [Medline]
  4. Cuellar RE, Gavaler JS, Alexander JA, et al. Gastrointestinal tract hemorrhage: the value of a nasogastric aspirate. Arch Intern Med 1990;150:1381-1384. [Abstract]
  5. Witting MD, Magder L, Heins AE, Mattu A, Granja CA, Baumgarten M. Usefulness and validity of diagnostic nasogastric aspiration in patients without hematemesis. Ann Emerg Med 2004;43:525-532. [CrossRef][ISI][Medline]
  6. Gianelli Castiglione A, Bruzzone E, Burrello C, Pisano R, Ventura F, Canale M. Intracranial insertion of a nasogastric tube in a case of homicidal head trauma. Am J Forensic Med Pathol 1998;19:329-334. [Medline]
  7. Wrenn K. The lowly nasogastric tube: still appropriate after all these years (at times). Am J Emerg Med 1993;11:84-89. [CrossRef][Medline]
  8. Goff JS. Gastroesophageal varices: pathogenesis and therapy of acute bleeding. Gastroenterol Clin North Am 1993;22:779-800. [Medline]
  9. Sabga E, Dick A, Lertzman M, Tenenbein M. Direct administration of charcoal into the lung and pleural cavity. Ann Emerg Med 1997;30:695-697. [CrossRef][ISI][Medline]
  10. Thomas B, Cummin D, Falcone RE. Accidental pneumothorax from a nasogastric tube. N Engl J Med 1996;335:1325-1325. [Free Full Text]

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