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WOUNDS & GENERAL ED SKILL

Nasogastric Tube Insertion

NG tube placement and, critically, position confirmation before use — misplaced NG feeding is an NHS Never Event. Nothing goes down the tube until placement is confirmed.

Indications

Contraindications & cautions

Avoid nasal route

  • Suspected base-of-skull or significant mid-face fracture — risk of intracranial passage. Use the orogastric route instead.
  • Severe facial trauma or recent nasal/skull-base surgery.

Caution

  • Known oesophageal varices, strictures, or recent upper GI/oesophageal surgery — discuss with seniors/gastroenterology first.
  • Reduced conscious level or absent gag/cough reflex — aspiration risk during insertion.

Measurement and insertion

  1. NEX measurement

    Estimate insertion length using the NEX method: tip of Nose → Earlobe → Xiphisternum, marking the tube at this length as a starting estimate (actual insertion is often slightly longer).

  2. Position the patient

    Sit upright where possible, neck slightly flexed ("sniffing" or chin-to-chest position) to help the tube pass into the oesophagus rather than the trachea.

  3. Lubricate and insert

    Lubricate the tube, pass along the floor of the nose (aiming backward, not upward), and advance steadily.

  4. Encourage swallowing

    If the patient can safely swallow, offer small sips of water as the tube passes the oropharynx — swallowing helps the tube pass into the oesophagus rather than the airway.

  5. Watch for respiratory distress

    Coughing, choking, cyanosis or inability to speak suggests tracheal passage — withdraw and reattempt.

  6. Secure the tube

    Once at the marked length, secure to the nose/cheek, and confirm position before any use.

Position confirmation is safety-critical

Feeding, medicating or flushing through a misplaced NG tube is a designated Never Event in England — recurrent, wholly preventable incidents of fluid entering the lung or pleura via a misplaced tube have caused death and severe harm.

Documentation

Supervision pointers

Generic ED skills entrustment levels — not a named curriculum DOPS:

1Observed only — describes contraindications and both confirmation methods.
2aPerforms insertion with supervisor present; correctly measures NEX and obtains a valid pH result.
2bPerforms with supervisor in department; manages difficult passage and interprets confirmation results correctly.
3Indirect supervision; recognises when to escalate for X-ray confirmation or specialist placement.
4Independent; teaches position-confirmation safety and audits practice.

References

  1. NHS Improvement. Patient Safety Alert NHS/PSA/RE/2016/006 — Nasogastric tube misplacement: continuing risk of death and severe harm.
  2. National Patient Safety Agency. Patient Safety Alert NPSA/2011/PSA002 — Reducing the harm caused by misplaced nasogastric feeding tubes.
  3. X-ray checks of NG tube position: a case for guided tube placement. Br J Radiol 2021;94(1124):20210432.
  4. NHS England — Never Events list and framework.