Document Type
Article
Publication Date
2014
Keywords
Anesthesiology, nasogastric intubation, esophagectomy
Digital Object Identifier (DOI)
https://doi.org/10.1177%2F2050312114524390
Abstract
Nasogastric tube intubation of a patient under general anesthesia with an endotracheal tube in place can pose a challenge to the most experienced anesthesiologist. Physiologic and pathologic variations in a patient’s functional anatomy can present further difficulty. While numerous techniques to the difficult nasogastric tube intubation have been described, there is no consensus for a standard approach. Therefore, selecting the most appropriate approach requires a working knowledge of the techniques available, mindful consideration of individual patient and clinical factors, and the operator’s experience and preference. This article reviews the relevant literature regarding various approaches to the difficult nasogastric tube intubation with descriptions of techniques and results from comparative studies if available. Additionally, we present a novel approach using a retrograde technique for the difficult intraoperative nasogastric tube intubation.
Rights Information
This work is licensed under a Creative Commons Attribution 4.0 License.
Was this content written or created while at USF?
Yes
Citation / Publisher Attribution
SAGE Open Medicine, v. 2, art. 4524390
Scholar Commons Citation
Ching, Yiu-Hei; Socias, Stephanie M.; Ciesla, David J.; Karlnoski, Rachel A.; Camporesi, Enrico M.; and Mangar, Devanand, "The difficult intraoperative nasogastric tube intubation: A Review of the Literature and a Novel Approach" (2014). Surgery Faculty Publications. 6.
https://digitalcommons.usf.edu/sur_facpub/6
