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Introduction <p>Unintentional nasogastric tube (NGT) displacement remains a prevalent and hazardous complication among critically ill patients, with incidence rates ranging from 1.9% to 89%. This displacement poses serious risks, including pulmonary aspiration, delayed enteral nutrition, patient discomfort, and increased morbidity. Traditional preventive measures, such as adhesive securement and basic staff training, have shown inconsistent effectiveness. In contrast, multimodal interventions that combine technological, behavioral, educational, and mechanical strategies offer a more comprehensive approach to reducing NGT displacement and improving patient outcomes in critical care settings.</p> Methods <p>A narrative review was conducted by systematically searching PubMed, Scopus, and ScienceDirect for literature published between January 2010 and November 2024. Studies included focused on adult critically ill patients, addressed NGT displacement, and evaluated multimodal interventions.</p> Results <p>The review revealed that multimodal approaches—integrating advanced securement devices, patient and staff education, real-time placement verification technologies (e.g., ultrasonography, electromagnetic guidance), and psychological support—significantly reduce unintentional NGT displacement. Silicone-based securement devices were associated with lower dislodgment rates, while real-time confirmation technologies improved placement accuracy and safety. Training programs enhanced clinical competence, and behavioral interventions reduced patient agitation. Despite these benefits, implementation challenges persist, including logistical complexity, resistance to change, variability in practice protocols, and resource constraints.</p> Conclusion <p>Multimodal interventions demonstrate clear potential in minimizing unintentional NGT displacement in critically ill patients. However, systemic barriers must be addressed to optimize implementation. The review emphasizes the importance of adopting integrated, evidence-based strategies to improve patient safety and outcomes in intensive care units.</p>

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Effectiveness of Multimodal Interventions in Reducing Unintentional Nasogastric Tube Displacement in Critically Ill Patients: A Narrative Review

  • 期刊论文

  • 发表日期：

    2025年11月29日

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  • Opeyemi Israel Fawole,
  • Eyitayo Toluwani Adebayo,
  • Ayoyimika Olagoke Okunlola,
  • Monisayo Olayemi Komolafe,
  • Oluwatomisin Priscilla Ogunsola,
  • Oyedayo Phillips Akano,
  • Ayodeji Folorunsho Ajayi

摘要

Introduction

Unintentional nasogastric tube (NGT) displacement remains a prevalent and hazardous complication among critically ill patients, with incidence rates ranging from 1.9% to 89%. This displacement poses serious risks, including pulmonary aspiration, delayed enteral nutrition, patient discomfort, and increased morbidity. Traditional preventive measures, such as adhesive securement and basic staff training, have shown inconsistent effectiveness. In contrast, multimodal interventions that combine technological, behavioral, educational, and mechanical strategies offer a more comprehensive approach to reducing NGT displacement and improving patient outcomes in critical care settings.

Methods

A narrative review was conducted by systematically searching PubMed, Scopus, and ScienceDirect for literature published between January 2010 and November 2024. Studies included focused on adult critically ill patients, addressed NGT displacement, and evaluated multimodal interventions.

Results

The review revealed that multimodal approaches—integrating advanced securement devices, patient and staff education, real-time placement verification technologies (e.g., ultrasonography, electromagnetic guidance), and psychological support—significantly reduce unintentional NGT displacement. Silicone-based securement devices were associated with lower dislodgment rates, while real-time confirmation technologies improved placement accuracy and safety. Training programs enhanced clinical competence, and behavioral interventions reduced patient agitation. Despite these benefits, implementation challenges persist, including logistical complexity, resistance to change, variability in practice protocols, and resource constraints.

Conclusion

Multimodal interventions demonstrate clear potential in minimizing unintentional NGT displacement in critically ill patients. However, systemic barriers must be addressed to optimize implementation. The review emphasizes the importance of adopting integrated, evidence-based strategies to improve patient safety and outcomes in intensive care units.