NASOGASTRIC TUBE (NG/RYLE’S TUBE)

LEVIN TUBE  Single lumen, holes near tip

 Prevents accumulation of intestinal liquids and gas
during and following surgery.
 Prevents nausea, vomiting and distention due to
reduced peristaltic action.
 Most common type used.

SUMP (SALEM) TUBE  Double lumen, radiopaque

- 1st lumen: suction of gastric contents
- 2nd lumen: blue extension (pig tail) open to
room air to maintain a continuous flow of
atmospheric air into the stomach.
 Controls the amount of suction pressure placed on
stomach walls.
 Prevents injury, ulcers.

SENGSTAKEN-BLACKMORE TUBE  Triple lumen

- 1st lumen: Inflates the balloon in the stomach to
press against the esophagogastric junction.
- 2nd lumen: Inflates the balloon in the
esophagus to press directly against varices.
- 3rd lumen: Used for aspiration and lavage.

©AzreenSyazlin SurgicalPosting 2014/2015, RoadToFinalPro

 INDICATION
COMPLICATION

 Feeding : for pt who cannot drink/sip liquid

 Epistaxis
feed/unconscious/on ventilator
 Erosions in the nasal cavity, and
 Aspiration: to provide samples of gastric
nasopharynx
contents
 More dangerous complications include:
 Lab analysis : to keep stomach free of gastric
 Esophageal
contents and air- post operation
penetration
 Lavage : in cases of poisoning or overdose
 Intracranial insertion
 Medication
 Aspiration

HOW TO INSERT NG TUBE?

1. Wash your hands, introduce to the patient and clarify their identity. Explain the procedure and get consent.
2. Gather your equipment:

3. Position the patient on the bed upright and facing forward.

4. Estimate the length of the tube to be inserted (measure the NG tube from the tip of the nose, to the earlobe and then
to xiphisternum).
5. Lubricate the tip of the tube and begin to insert through one of the nostrils. If any resistance is encountered, change
to the other nostril.
6. Ask the patient to keep on swallowing (saliva?)
7. Aspirate/ Blow air from/into the tube using a syringe.
8. Test the aspirate using pH indicator paper. The pH should be 1 – 5.5/ hear the air sound in the stomach by
stethoscope.
9. If satisfied that the pH is correct, and the tube is draining gastric fluid, secure the tube with tape and attach a bile bag
to allow drainage.
10. Ensure your patient is comfortable, thank them and wash hands.

©AzreenSyazlin SurgicalPosting 2014/2015, RoadToFinalPro