Should We Skip the NG Tube in Bowel Obstruction?

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Swami makes the case why we should stop using NG tubes as a routine for bowel obstruction, from EM:RAP January 2022.

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Ian L. -

IS THERE A WAY OF MAKING NG INSERTION FAR LESS PAINFUL ?

Anand S. -

Well, skipping it all together is definitely the best approach.

Some other tips that have worked well for me:
Nasal atomization of 4% lidocaine along with viscous lidocaine gargling
Shaping the tube with ice water and a oral airway

Here's a nice video from our good friend Dr. Whit Fisher: https://www.youtube.com/watch?v=e5Isp1jGWsw&t=56s

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