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Related Concept Videos

Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Related Experiment Videos

Electromagnetic-Guided Nasogastric Tube Insertion by Nurses: A Multicenter Non-Inferiority Study.

Hideaki Sakuramoto1, Kensuke Nakamura2, Megumi Kamogawa3

  • 1Department of Acute and Critical Care Nursing, Faculty of Nursing, Kindai University, Osaka, Japan, gongehead@yahoo.co.jp.

Annals of Nutrition & Metabolism
|May 21, 2026
PubMed
Summary

Nurse-led electromagnetic-guided nasogastric tube insertion is a safe and effective alternative to blind insertion. This method offers comparable success rates and potential efficiency benefits for critically ill patients.

Keywords:
Critical careElectromagnetic guidanceEnteral nutritionNasogastric tubeTask shifting

Related Experiment Videos

Area of Science:

  • Critical Care Medicine
  • Gastroenterology
  • Medical Devices

Background:

  • Nasogastric tube (NGT) feeding is crucial for critically ill patients.
  • Blind NGT insertion carries risks of misplacement and complications.
  • Electromagnetic guidance offers real-time tracking for safer NGT placement.

Purpose of the Study:

  • To compare the safety and effectiveness of nurse-led electromagnetic-guided NGT insertion versus physician-performed blind insertion.
  • To evaluate nurse-led electromagnetic-guided NGT insertion as an alternative in critically ill patients.

Main Methods:

  • A multicenter prospective non-inferiority trial in seven Japanese ICUs.
  • Comparison of blind insertion (physician-led) with electromagnetic-guided insertion (nurse-led) using the CORTRAK system.
  • Primary outcome: successful gastric placement; Secondary outcomes: insertion time, attempts, complications, and tube position.

Main Results:

  • Non-inferiority in successful gastric placement (63.1% vs 65.5%) was confirmed.
  • Electromagnetic-guided insertion showed fewer reinsertions (P=0.049) and less time (P=0.03).
  • No tracheobronchial misplacements occurred with electromagnetic guidance; 1.4% with blind insertion. Complication rates were low and comparable.

Conclusions:

  • Nurse-led electromagnetic-guided NGT insertion is a safe and effective alternative.
  • This method demonstrates comparable success rates to blind insertion.
  • Potential efficiency advantages in insertion time and fewer reinsertions were observed.