HELP Looking for Contraindications in placing NG Tubes...

suzanne4, RN · Jan 20, 2006

Bleeding esophageal varices that have been banded. You need ot wait one week before being able to insert an NG tube.

Patient who frequently snorts cocaine, the nasal mucosa will be virtually destroyed, and perforation into a sinus will be impossible not to do.

Recent sinus surgery.

Recent correctional nasal bone surgery.

I am sure that there are more, but these came up to my mind right away.

hrtprncss · Jan 20, 2006

in trauma icu before, if someone is in for maxillofacial fx, we're not allowed to put in an NGT, the fellows usually insert the OGT.

RNin2007 · Jan 20, 2006

Latex allergy would be another contraindication. Other than that, I think the other posters gave you the only answers I can think of...

~J

SamNurse80 · Jan 20, 2006

I work in an ICU. We don't do it for radical neck surgeries either.

KarafromPhilly · Jan 20, 2006

Any suspicion of basilar skull fracture. There's a famous x-ray of a patient skull with an NG tube coiled in the base of the brain. (Yuck.)

rjflyn, ASN, RN · Jan 20, 2006

If the tube is made of latex, of which I personally havent seen one of in years.

Wont place one down on a pt who has had gastric bypass or lapband surgery.

Rj

Latex allergy would be another contraindication. Other than that, I think the other posters gave you the only answers I can think of...
~J

suzanne4, RN · Jan 20, 2006

I have not seen an NGT made of latex in years either.

Maxillo-facial surgery would be because of the sinus issues, and going into the frontal cavity.

kitkat7077 · Jan 20, 2006

thank you, thank you, thank you !!!!!

if anyone has any more i will take them also.

about the x-ray of a patient skull with an ng tube coiled in the base of the brain, does anyone know where i could find it ? thanks again...

mom5rn · Jul 7, 2007

thank you, thank you, thank you !!!!!
if anyone has any more i will take them also.
about the x-ray of a patient skull with an ng tube coiled in the base of the brain, does anyone know where i could find it ? thanks again...

i would be interested in finding it again too. i thought i had saved it, but have not been able to locate it.

EricJRN, MSN, RN · Jul 7, 2007

I found a site a while back with more explanation of the case, but now all I see online is this link:

http://www.dcn.ed.ac.uk/food/newsjan01.htm

NurseKatie08, MSN · Aug 12, 2008

I once had a pt who had to have an OGT instead of an NGT because of problems with epistaxis (nosebleeds).