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tube
Dr. Sandya
KIMS hospital
Oro gastric tubes:
neonates are obligatory nasal breathers.
helps to stimulate sucking
Nasogatric tubes:
best for indwelling tube
use pacifier to stimulate sucking
Nasojejanal tubes:
for continuous infusion of feed
Nasogastric tube/ orogastric tube:
Indication:
Measurement:
Measure the length of tubing from the infants nose to the infants ear lobule
and then to the point midway between the xiphoid and umbilicus (this was
established as a more accurate measurement than the traditional
measurement up to xiphoid process)
anthropometric measurements for accurate estimation of gastric tube
insertion:
Orogatric tube placement Length = 3 X weight (kg) + 12
Nasogastric placement Length =3 X weight (kg) + 13
Method of insertion:
assemble all the required equipment
appropriate size feeding tube
2 cc or 5 cc syringe
stethoscope
tape
Donot leave catheter under radiant warmer light for ANY length of time as it
becomes too soft for insertion
Flex the newborns chin on the chest to facilitate passage
The tube may be lubricated with sterile water. Insert tube to the distance
measured through the mouth or nares pointing downwards
Monitor the neonates heart rate and colour during the procedure
After desired placement has been reached confirm with the tape(avoid occlusion of
nares)
Confirm the tube position
Perform aspiration/feeding
Document the size of catheter used, time of insertion and distance fixed at and
amount of aspirate or residue obtained.
What can go wrong here??
A naso-jejunal tube is a long silastic tube which is inserted via the nostril into
the stomach, through the pylorus, past the duodenum and into the proximal
part of the jejunum.
Once in the correct place, milk feeding can be commenced safely without the
risk of reflux as the stomach is effectively bypassed.
Gut peristalsis moves the feed along the small bowel where it is digested and
absorbed by the child.
Feeding can only be given by continuous infusion as there is no capacity for
storage in the small bowel.
Indications: