Salem-sump: is a two-lumen nasogastric/orogastric tube. The dual lumen tube allows for safer continuous and intermittent gastric suctioning. The large lumen allows for easy suction of gastric contents, decompression, irrigation and medication delivery.

How does Salem sump tube work?

The smaller vent lumen allows for atmospheric air to be drawn into the tube and equalizes the vacuum pressure in the stomach once the contents have been emptied. This prevents the suction eyelets from adhering to and damaging the stomach lining.

What is a Dobhoff tube?

Background. A Dobhoff tube is a narrow-bore flexible tube with a diameter of 4 mm, used to deliver enteral nutrition. It is used in patients with a functional gastrointestinal tract, but who are unable to meet their nutritional requirements through oral intake [1,2].

Why is a nasogastric tube inserted during surgery?

By inserting a nasogastric tube, you are gaining access to the stomach and its contents. This enables you to drain gastric contents, decompress the stomach, obtain a specimen of the gastric contents, or introduce a passage into the GI tract. This will allow you to treat gastric immobility, and bowel obstruction.

What is a gastric decompression?

1. Gastric decompression is intended for the patient with gastric distention receiving aggressive ventilatory resuscitative measures prior to intubation. 2. A nasogastric tube may be used to perform gastric decompression for the patient with known or suspected gastric distension.

Is nasogastric tube insertion painful?

Nasogastric tube (NGT) insertion is often painful for patients of all ages. Randomized clinical trials in adult patients support the use of some form of topical lidocaine in reducing pain associated with NGT insertion.

How long can a NG tube stay in?

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.

Can you use Salem sump for feeding?

NG tubes are also available in a larger diameter (e.g., Salem sumps). Large-bore NG tubes can be used for feeding or administering medication, but their primary functions are gastric suctioning and decompression. Another function of large-bore NG tubes is the measurement of gastric pH or residual volumes.

Does it hurt to have an NG tube removed?

Pulling the tube out was not so uncomfortable as having it inserted. For the rest of that afternoon however, it still felt like there was something in my nose but it was most likely the psychological effect. This short experience really gave me an insight into how a patients may feel when having a tube fitted.

What is the difference between Orogastric tube and nasogastric tube?

Nasogastric tubes, or NG tubes, are thin, flexible tubes inserted through the nose that travel down the esophagus into the stomach. Orogastric tube, or OG tube, is the same tube inserted into the mouth instead of the nose.

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Which nasogastric tubes are used for gastric decompression?

For decompression, the standard tube used is a double-lumen nasogastric tube. There is a double-one large lumen for suction and one smaller lumen to act as a sump.

What does Brown drainage from NG tube mean?

This tube will be set to suction and will drain out brownish colored stomach acid. When it runs from brown to light green to clear, this is an indication that things are moving through the stomach and feedings may be possible.

What is a Salem sump?

Salem-sump: is a two-lumen nasogastric/orogastric tube. The dual lumen tube allows for safer continuous and intermittent gastric suctioning. The large lumen allows for easy suction of gastric contents, decompression, irrigation and medication delivery.

What color drainage is normal for NG tubes?

Normal color of gastric drainage is light yellow to green in color due to the presence of bile. Bloody drainage may be expected after gastric surgery but must be monitored closely. Presence of coffee-ground type drainage may be indicate bleeding.

Can a nurse insert a Dobhoff?

No credentialing needed. Inserted like an NG tube, needs xray confirmation for placement after insertion. It has always been tabu for nurses to insert these tubes in the acute care setting.

How do you get rid of a nasal bridle?

To remove the AMT Bridle and the tube: Cut only ONE strand of the umbilical tape. Gently pull both the Bridle and nasal tube out of the nose.

Is Dobhoff and NG tube?

Dobhoff tube is a specialized small-bore and flexible nasogastric tube that makes it more comfortable for placement than a usual nasogastric tube. Dobhoff tube insertion is commonly considered a relatively safe bedside procedure, but it is not without its associated risks.

What is the dumping syndrome?

Overview. Dumping syndrome is a condition that can develop after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight. The condition can also develop in people who have had esophageal surgery.

What is the blue thing at the end of an NG tube?

An anti-reflux valve is attached to the blue pigtail to prevent gastric contents from seeping out.

Why would you need to decompress your stomach?

Associated with control of distention and vomiting, decompression protects the patient against the bronchial aspiration of gastric contents, encourages the adequate and rapid healing of intestinal suture lines, minimizes the incidence of abdominal wound dehiscence and evisceration, and decreases the incidence of …

Can you vomit with an NG tube?

Problems that occur when putting in the NG tube include choking, coughing, trouble breathing and turning pale. Problems that occur during feeding can include vomiting and stomach bloating.

Can you go home with an NG tube?

A nasogastric (NG) tube is a long, thin, flexible tube inserted through your nose and down into your stomach or small intestine. You may be sent home with the tube in place in order to get the nutrition you need. Your tube will be removed by your healthcare provider when it is no longer needed.

How do you gain weight on a feeding tube?

If you use the bolus method for tube feeding, the most basic strategy to increase calories is to increase the volume of each bolus meal. Try slowly increasing a meal volume by 30- to 60-mL (1- to 2-ounce) increments. Often, the adult stomach can tolerate a total volume of 240–480 mL per meal.

Do you feel hungry with a feeding tube?

However, when the tube feed is administered continuously in small amounts over the course of a whole day, you may feel less of the sensation of fullness. If your intake is less than the recommended amount or if you take more time in between the feeds, you can feel hungry.

Why do anorexics get feeding tubes?

Feeding tubes are used for a variety of reasons throughout the eating disorder recovery process. When a patient is not eating enough calories, and/or keeping those calories in their bodies, the entire gastric system slows down.

Can you drink alcohol with a feeding tube?

Do not drink alcohol because it can make your illness worse and delay healing.

What is the most common problem in tube feeding?

Diarrhea. The most common reported complication of tube feeding is diarrhea, defined as stool weight > 200 mL per 24 hours.

Why do babies have tubes in their nose?

A nasogastric (NG) tube is a thin, soft tube that goes in through the nose, down the throat, and into the stomach. They’re used to feed formula to a child who can’t get nutrition by mouth. Sometimes, kids get medicine through the tube. NG tubes are used for short periods of time, usually a few weeks to months.

What does NG tube do for bowel obstruction?

The tube removes fluids and gas and helps relieve pain and pressure. You will not be given anything to eat or drink. Most bowel obstructions are partial blockages that get better on their own. The NG tube may help the bowel become unblocked when fluids and gas are removed.

What size are NG tubes?

Sizes. Nasogastric tubes come in various sizes (8, 10, 12, 14, 16 and 18 Fr). Stiff tubes are easier to insert, and putting them in a refrigerator or filling them with saline helps to stiffen them. Some fine-bore tubes come with a guide wire to aid placement.

What is a Lopez valve used for?

The Lopez Valve is designed to help you save time by eliminating the use of nasogastric (NG) tube plugs and poor syringe connections while keeping you safe from accidental exposure to infectious bodily fluids.