GAVAGE FEEDING

 

GAVAGE FEEDING

          For gavage feeding, size for 5 feeding catheter is required for nasogastric (or) orgastric placement for nasogastric insertion the catheter is measured from external nares to the tragus of the car and from there to the riphisternum.

 

          This length of tube should be inserted from nose for orgastric insertion distance is measured from angle of mouth to the tragus and from there to the xiphisternum.

 

          During nasogastric (or) orgastric tube insertion the head is slightly raised and a wet (not lubricated).  Cather is passed gently through the nose (or) mouth into the esophagus and them the stomach.  Position of the nasogastric tube is verified by aspirating the gastric contents.

 

          The tube is then fixed through an adhesive tape.  At the time of feeding a 5 (or) 10 m/s syringe without phenger is attacked to the tube and milk is given through it.

 

          Before every feeding aspiration is one of the most important and controversial complications in patients receiving internal nutrition and is among the leading causes of death in tube fed, patients due to aspiration pneumonia after feeding place the baby in right lateral position there is no need to burn the body after gavage feed.

          A nasagastric (or) orgastric tube can be left in situation for up to 7 days.

 

GASTROTOMY

Definition:

          A surgical opening into the stomach a gastrostomy may be used for the feeding usually via feeding tube called “Gastrostomy tube”.  Feeding can also be done through percutaneous endoscopic gastrostomy tube (P.E.G).

P.E.G : Percutaneous endoscopic Gastrostomy

Definition:

          P.E.G is an a endoscopic medical procedure in which a tube (PEG Tube) is passed into a pt-stomach through the abdominal wall most commonly to provide a means of feeding when oral intake is not adequate.

Because of Dysphagia (or) sedative:

          P.E.G is a surgical procedure for placing a tube for feeding without having to perform an open operation on the abdomen (laprotomy).

 

GASTROSTOMY PROCEDURE

          A gastrostomy is done after the diagnosis is made in order to decompress the stomach pre-operatively and to feed the infant post operatively.  The feeding tube goes into your / baby stomach through tube.  Attach a 60cc syringe to the end of your feeding tube.

          If you pull back a large amount of fluid, do not give your self food inject the stomach content which contains important minerals back into the tube.

 

SUMMARY

          Gavage feeding once the premature baby is stable enough to receive feeding through the gut, they can be given gavage or nasogastric (NG) feedings.  A small tube is inserted through the nost or mouth and run directly into the baby’s stomach.