How is it Inserted?
Insertion of an orogastric tube is a delicate procedure usually performed by a trained healthcare provider. The steps generally involve:
Measuring the tube length from the mouth to the stomach.
Lubricating the tip of the tube.
Gently inserting the tube through the mouth and advancing it down the esophagus into the stomach.
Verifying the correct placement, often by aspirating stomach contents or using
X-ray confirmation.
How is it Managed?
Proper management and care of an orogastric tube are essential to minimize complications. Key aspects include:
Regularly checking the tube's position before each feeding.
Maintaining sterile techniques to prevent infections.
Monitoring for signs of feeding intolerance, such as vomiting or abdominal distension.
Ensuring the tube is securely taped to prevent accidental dislodgement.
Alternatives to Orogastric Tubes
In some cases, other methods may be considered, such as: Nasogastric Tube (NGT): Inserted through the nose instead of the mouth.
Gastrostomy Tube (G-tube): Surgically placed directly into the stomach through the abdominal wall.
Parenteral Nutrition: Nutrients provided intravenously, bypassing the gastrointestinal tract.
Conclusion
The use of an orogastric tube is a crucial intervention in the management of neonatal disorders. It ensures that neonates who are unable to feed orally still receive the necessary nutrition and medications for their growth and recovery. However, careful attention must be paid to the insertion, maintenance, and monitoring of the tube to minimize potential complications.
