Question of PracticeKnot the Best Scenario: A Case of a Knotted Nasogastric TubeMonica Fan, Peijin Esther BSc, RN; Teo, Kai Yunn BNurs, RN; Tan, Min Yi BNurs, RN; Ang, Shin Yuh MBA, BSc, RN Author Information Peijin Esther Monica Fan, Kai Yunn Teo, Min Yi Tan, and Shin Yuh Ang are nurses at Singapore General Hospital. Contact author: Peijin Esther Monica Fan, [email protected]. The authors have disclosed no potential conflicts of interest, financial or otherwise. AJN, American Journal of Nursing 123(3):p 56-58, March 2023. | DOI: 10.1097/01.NAJ.0000921816.83347.0c Buy Metrics AbstractIn Brief Nasogastric tubes are widely used in clinical practice for enteral nutrition, medication administration, and gastric decompression. Common complications of their use—such as tube blockage, displacement, and accidental removal—are well described in the literature. However, knotting—a complication that occurs when a knot forms in the nasogastric tube in situ—is rare. This report presents the case of a nasogastric tube that became knotted, causing difficulty in its removal. Key takeaways from this case are discussed, among them that more emphasis should be placed on safe nasogastric tube removal in practitioner training to better prevent such complications in the future. This report presents the real case of an older adult whose nasogastric tube became knotted, causing difficulty in its removal, and discusses key takeaways for clinicians. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
