Episode 21 – OG or NG Tubes: Who Nose?

Gastric tubes are commonly used in both the pre-hospital and hospital environment for a variety of reasons. Depending on the patient and/or provider, these range from orogastric to nasogastric in nature. In this podcast episode, we raise the question, “Does it matter which one we choose?” Tune in as we discuss gastric tubes in general, indications, contraindications, and why you should choose OG over NG whenever possible. We also feature a video demonstrating how to introduce an OG tube when inserting by conventional methods is difficult.


Sengstaken–Blakemore tube:



Introducing the OG Tube:


Adeyemo, A. A., Fasunla, A. J., Adeosun, A. A., & Abdullahi, H. (2007). Rhinosinusitis; A Potential Hazard of Nasogastric Tube Insertion. Annals of Ibadan Postgraduate Medicine,5(1), 44-45. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110988.

Kwon, O. S., Cho, G. C., Jo, C. H., & Cho, Y. S. (2015). Endotracheal tube-assisted orogastric tube insertion in intubated patients in an ED. The American Journal of Emergency Medicine, 33(2), 177-180. Retrieved from https://www.ajemjournal.com/article/S0735-6757(14)00793-1/fulltext.

Lee, X., Yeh, L., Jin, Y., Chen, C., Lee, M., & Huang, P. (2017). Nasogastric tube placement with video-guided laryngoscope: A manikin simulator study. Journal of the Chinese Medical Association, 80(8), 492-497. Retrieved from https://www.ncbi.nlm.nih.gov/m/pubmed/28601629/.

Prabhakaran, S., Doraiswamy, V. A., Nagaraja, V., Cipolla, J., Ofurum, U., Evans, D. C., . . . Kavuturu, S. (2012). Nasoenteric tube complications. Scandinavian Journal of Surgery,101, 147-155.

Vassar, C., & Gee, C. (2004). Nasogastric and orogastric tube management. Retrieved from https://www.gosh.nhs.uk/health-professionals/clinical-guidelines/nasogastric-and-orogastric-tube-management

Willette, P. (2017, February 10). Trick of the Trade: Rapid Insertion of OG Tube. Retrieved from https://www.aliem.com/2017/02/trick-rapid-insertion-orogastric-tube/

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