What is NG, OG & PEG Insertion & Management?
Nasogastric (NG), Orogastric (OG), and Percutaneous Endoscopic Gastrostomy (PEG) tube insertions are essential medical procedures used to provide nutritional support and manage gastrointestinal access in patients who cannot consume food orally. These techniques are vital in clinical practice and are skillfully taught at Faith Academy, the Best Clinical Training & Simulation Centre in Vijayawada, Andhra Pradesh.
Understanding NG, OG, and PEG Tubes
Each type of tube serves a specific function and is used based on the patient's condition, age, and medical necessity:
Nasogastric (NG) Tube
An NG tube is a thin, flexible tube inserted through the nose, down the esophagus, and into the stomach. It is typically used for short-term nutritional support, medication administration, or stomach decompression. NG tubes are common in both emergency and critical care settings.
Orogastric (OG) Tube
OG tubes are similar to NG tubes but are inserted through the mouth instead of the nose. They are usually used in neonates, unconscious patients, or those with nasal trauma. OG tubes serve similar purposes—feeding, medication delivery, and gastric decompression.
Percutaneous Endoscopic Gastrostomy (PEG) Tube
PEG tubes are used for long-term enteral feeding. These tubes are surgically inserted directly into the stomach through the abdominal wall using an endoscopic technique. PEG tube placement is indicated for patients who require nutritional support for more than four to six weeks.
Training in NG, OG & PEG Insertion
At Faith Academy, healthcare professionals are provided with expert training in the correct insertion and management techniques of NG, OG, and PEG tubes. Through clinical simulation labs and hands-on practice, students learn vital skills that ensure patient safety and optimal outcomes.
NG Tube Insertion Procedure
- Explain the procedure to the patient.
- Position the patient upright, ideally at a 45–90-degree angle.
- Measure the length of the tube: from nose to ear to xiphoid process.
- Lubricate the tip and gently insert through the nostril.
- Ask the patient to swallow water to aid passage into the esophagus.
- Check placement via aspiration or auscultation before securing.
OG Tube Insertion Procedure
- Position the patient with their head slightly extended.
- Measure the tube from the mouth to the ear to the stomach.
- Lubricate and gently advance through the mouth.
- Ensure the tube is not coiled in the oral cavity.
- Verify placement with aspiration or pH testing of gastric contents.
PEG Tube Insertion Training
Faith Academy offers simulation-based education in PEG tube insertion. The steps include:
- Patient preparation under sedation or local anesthesia.
- Endoscopic identification of the stomach site for puncture.
- Introduction of a guidewire followed by PEG tube placement.
- Tube secured externally and checked for patency.
Post-Insertion Care & Management
Proper tube management is critical to prevent infections and maintain functionality. Faith Academy emphasizes the following best practices:
NG/OG Tube Management
- Secure the tube to avoid displacement.
- Flush the tube with sterile water before and after medication or feeds.
- Monitor for signs of irritation or nasal erosion.
- Check gastric residual volume periodically.
- Replace tube as per institutional protocol (typically every 7–14 days).
PEG Tube Management
- Clean the stoma site daily with sterile solution.
- Rotate the tube to prevent adherence to the skin.
- Flush the tube with sterile water regularly.
- Use proper feeding techniques with syringes or pump-assisted devices.
- Observe for leakage, redness, or granulation around the site.
Clinical Simulation at Faith Academy
Simulation training is at the heart of modern medical education. Faith Academy uses high-fidelity manikins and real-life clinical setups to prepare trainees for real-world scenarios. This allows students and healthcare workers to master NG, OG, and PEG tube techniques with confidence and precision.
Why Choose Faith Academy for Clinical Training?
- Expert instructors with years of clinical experience.
- State-of-the-art simulation labs.
- Hands-on approach with supervised practice sessions.
- Regular workshops and skill assessments.
- Evidence-based training protocols aligned with international standards.
Choosing the right training center is crucial for acquiring clinical competencies. Faith Academy stands out as a trusted name in clinical education, delivering high-quality, simulation-based training in NG, OG, and PEG tube insertion and care. The practical experience and knowledge gained here empower healthcare professionals to provide safe and effective patient care in various healthcare settings.
