Securing recovery: the impact of nasogastric tubes dislodgement in stroke care

Reduced swallow efficiency is a common complication of stroke, often necessitating nasogastric tube feeding to maintain adequate nutrition, hydration and medication delivery. Effective tube management is essential for optimising clinical outcomes and preventing complications such as malnutrition, aspiration pneumonia and delayed rehabilitation. However, practical challenges, particularly poor tube securement, frequently disrupt the consistent supply of nutrients and medications, exacerbating physiological deterioration, prolonging hospitalisation and increasing mortality risk. This article critically examines the potential impact of ineffective tube securement in stroke patients requiring enteral feeding. Drawing on clinical experience, research evidence and national guidelines, this discussion explores the implications of repeated nasogastric tube dislodgement and the consequences of suboptimal securement strategies. The aim is to inform and enhance clinical practice by supporting healthcare professionals in improving nasogastric tube management techniques, ultimately promoting safer care and better patient outcomes.