{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:37:24Z","timestamp":1789580244833,"version":"build-2803163510"},"reference-count":19,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Nutr Metab"],"abstract":"<jats:p>Introduction: Nasogastric tube feeding is essential for critically ill patients, yet blind insertion risks misplacement and related complications. Electromagnetic guidance enables real-time tracking, potentially enhancing safety and efficiency. This study aimed to compare the safety and effectiveness of nurse-led electromagnetic-guided nasogastric tube insertion with those of physician-performed blind insertion in critically ill patients. Methods: This multicenter prospective non-inferiority trial was conducted in seven Japanese intensive care units (July 2023\u2013February 2025). Physicians performed blind insertions in the initial phase, followed by nurse training and electromagnetic-guided insertions using the CORTRAK system. The primary outcome was successful gastric placement without special techniques. Secondary outcomes included insertion time, attempts, complications, and tube position. Results: A total of 283 patients were analyzed (141 electromagnetic-guided, 142 blind). Success rates were similar (63.1% vs. 65.5%; difference \u22122.4%, 95% confidence interval: \u221213.5 to 8.8), confirming non-inferiority (Farrington-Manning p = 0.001). Electromagnetic-guided insertions required fewer reinsertions (median 0 vs. 1; p = 0.049) and less time (3.3 vs. 4.5 min; p = 0.03) in unadjusted analyses. No tracheobronchial misplacements occurred (blind: 1.4%). Complication rates were low and comparable. Conclusion: Nurse-led electromagnetic-guided nasogastric tube insertion appears to be a safe, effective alternative to physician blind insertion, with comparable success and potential efficiency advantages.<\/jats:p>","DOI":"10.1159\/000552563","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:01:14Z","timestamp":1779379274000},"page":"1-11","source":"Crossref","is-referenced-by-count":1,"title":["Electromagnetic-Guided Nasogastric Tube Insertion by Nurses: A Multicenter Non-Inferiority 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