An Evidence-Based Approach to Nasogastric Tube Management: Special Considerations

Investigating the use of preoperative nasogastric tubes and postoperative outcomes for infants with pyloric stenosis: a retrospective cohort study

“…On the other hand, proponents for not using NGT state that patients with IHPS do not have a complete obstruction and can usually handle their gastric secretions. Furthermore, continuous suctioning of gastric contents without intravenous replacement is well-known to cause electrolyte disturbances, and this can theoretically compound the characteristic hypokalemic, hypochloremic metabolic alkalosis seen in IHPS [21][22][23]. A delay in achieving normal acidbase balance and electrolyte levels will ultimately delay the time a patient would be ready for surgery.…”

Examining the Evidence to Guide Practice: Challenging Practice Habits

“…Even if a nasogastric tube is positioned correctly upon insertion and secured, the distal tip can migrate forward or backward from its original position. [102][103][104] Because nasogastric tubes can be misplaced on insertion or subsequent to initial placement, 2 related traditions in practice will be discussed. The first is associated with morphological measurement used to predict insertion length.…”

Use of pH Cutoff Level for Enteral Nutrition

“…Evidence-based guidelines and recommendations exist (NPSA 2011;Bankhead et al 2009;Richardson et al 2006) that should form the basis of local NGT policy documents within individual health settings. These documents provide evidence-based information for checking and confirming correct placement of the NGT, a feeding chart algorithm (see Fig.…”