NG/OG after intubation??

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polygonal

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How many of you always place an NG/OG after intubation? My practice was that we did not but in my new hospital they do it routinely. I haven't found any great data on the topic (but I'm a bit cut off from PubMed now).

My prior impression was the gastric intubation does not decrease risk of VAP and may increase it due to the tube preventing seal of the LES. We used the CASS tubes at my prior shop.

Thoughts?? Data??
 
it might aid ventilation - they often have a stomach full of air if they've been bagged en route or prior to/during the tube.
 
Interesting question. I think it depends on the case at our institution. In medical cases, i have always placed ngt/ogts, because the chances they would eventually need po meds or icu admission for an expected longer hospital course were greater. Also, might as well get one confirmatory x-ray to show both ogt as well as ett placement. Trauma cases for decreased gcs i think we hardly ever did. That's probably more due to the surgery team's influence.
 
Yes, I would definitely would place one if the pt has been bagged and there is gastric air. I'm mainly talking about routine placement such as after RSI.
 
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