Any tricks for NG placement?

  1. Busy weekend at work..3 bowel obstructions. NG's galore.LOL
    Anyhooo...one lady we could just not get the NG down. She absolutely could not tolerate it...gagged and vomited. Tried everything. Xylocaine to lube, sipping water. Chin down.
    Just wondering if anyone had any tips.
    Last edit by NS_RN on Mar 16, '03
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  2. 10 Comments

  3. by   sunnygirl272
    general anesthesia.
  4. by   hoolahan
    Did you chill the tube?? I mean really tho, if she had such a hypersensitive gag reflex, and I am one of those people so I understand, a little conscious sedation, aka whiff of versed might not have been a bad idea. Poor thing, I can identify w that!! Knock me out!!
  5. by   NS_RN
    Yup..tube was chilled and she had some lorazepam s/l. Poor little old lady.
  6. by   hoolahan
    Re-readng my post I don't like how it "reads". I just want to say that you did all the right things, and even if tube was also chilled and made it a tad stiffer, due to her gag, nothing might have helped. Esp if tube dipped in xylo gel. Never tried that, great idea. Should have knocked out her gag reflex too!! Maybe she had weird anatomy too!!
  7. by   hoolahan
    Yikes she had ativan too?? Definitely needs general!! LOL!!
  8. by   P_RN
    Did you try allowing her to chew and swallow some crushed ice?
    I find that helps.
  9. by   KaroSnowQueen
    We have xylocaine spray we spray on the back of their throat. Works like a charm. If they are still able to have p.o. they just can't have anything for about 45 minutes.
  10. by   WashYaHands
    If they arent dysphagic you can use a 60 cc syringe filled with ice water. Have them suck on it and swallow as you advance the tube. The suction helps you advance the tube. A calm quiet soft voice of encouragement also helps.

    Linda
  11. by   ERNurse752
    I personally prefer to throw down an OG when someone is already sedated, paralyzed, and intubated.
  12. by   momoftriplets
    I like to use a xylocaine spray too, and also use lidojelly for lubrication. I also have found out, that the larger the ng, the easier it is to go down.. Esp in the Er when we do a lot of Ng, flush til clear, then pull stuff. Almost always does an 18g go down.

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