I'm reading materials regarding gastro and came across inserting an NGT as an appropriate intervention for possible Upper GI Bleed, s/p knee surgery. Given that we're ruling out Upper GI Bleed, wouldn't inserting an NGT might cause a trauma to a possible varice in the esophagus?? Shouldn't we insert a dub-hoff instead? have another instrument make sure we don't nick a varice, vein or something?
what do you think?