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They need to be changed every 3 days to 4 weeks, depending on the type of tube. If longer-term tube feeding is needed, it may be time to discuss a G-tube (gastrostomy tube) that is placed directly into the stomach.
The use of a nasogastric tube is suitable for enteral feeding for up to six weeks. Polyurethane or silicone feeding tubes are unaffected by gastric acid and can therefore remain in the stomach for a longer period than PVC tubes, which can only be used for up to two weeks.
When to replace the tube Ask your child’s healthcare provider how often the NG tube needs to be replaced. If your child pulls the tube out before then, you’ll need to reinsert it. It’s OK to use the same tube if that happens. Just wash the tube with soap and water before you reinsert it.
Advance the tube slowly and gently. Once your NG tube reaches “terror turn” where it must reflect downward from the back of the soft palate toward the esophagus, stop for a few seconds if you meet any resistance (e.g., curses, sputtering) and let the patient become more comfortable.
Even though having an NGT put in is a short procedure and does not hurt, it is not very pleasant. Paracetamol or other medicines for pain relief will not stop the discomfort. Knowing what will happen during the procedure will help make it easier for you and your child.
Routinely flush feeding tubes using tepid water, never hot water. With continuous or nocturnal feedings, flush at least 30 mL every 4, 6, or 8 hours to prevent clogging. With bolus feedings, flush at least 60 mL before and after formula infusion.
The most frequent tube-related complications included inadvertent removal of the tube (broken tube, plugged tube; 45.1%), tube leakage (6.4%), dermatitis of the stoma (6.4%), and diarrhea (6.4%).
Possible complications associated a feeding tube include:
Tube feeding can give the sensation of fullness, the same way you would be affected by eating food. If you feel hungry for a longer period of time, discuss with your dietitian who will review your feeding regimen and make changes if necessary.
A speech and language therapist will assess your swallowing and will determine whether your swallowing is safe. You may be able to still eat and drink whilst you have NG tube as long as you do not have any swallowing difficulties.
Keep the skin around the tube clean and dry. Sleep on your back or your side. You are likely to be more comfortable.
Aspiration from feeding tubes is also a common cause of respiratory infection, although patients without feeding tubes can aspirate as well–especially those with impaired swallowing control. The third most common source of sepsis is the gastrointestinal (GI) tract.
Conditions for Which We Use a Feeding Tube
Depending on the temperature, it’s either a cold shiver or a warm feeling, but you have to be careful since you wouldn’t even notice that you burn your stomach if you pour for example hot water down the tube.
If you or your loved one has a serious illness that prevents eating by mouth, a PEG tube can temporarily, or even permanently, provide calories and nutrients for the body to heal and thrive.
If you’re unable to eat and drink like you used to, a feeding tube can help you get the nutrition you need and lower your chances of choking. A feeding tube can remain in place as long as you need it. Some people stay on one for life.
It was concluded that the proximate cause of death was nasal cavity injury from insertion of nasogastric tubes for enteral nutrition, which led to hemorrhage and irreversible hypovolemic shock. A contributing cause of death was anticoagulation for pulmonary thromboembolism.
Alternative feeding methods are where a tube can be placed directly through the skin into the stomach or bowel, known as Enterostomy Feeding, which includes percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy (PEJ).