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Nasogastric tube syndrome is a rare but serious and potentially life-threatening complication of nasogastric intubation. It should be considered in all patients who present with pain, hoarseness, or shortness of breath after nasogastric intubation or extubation. It requires prompt treatment and close follow-up.
Gently insert the nasogastric tube along the floor of the nose and advance it parallel to the nasal floor (ie, directly perpendicular to the patient's head, not angled up into the nose) until it reaches the back of the nasopharynx, where resistance will be met (10-20 cm).