Oral Gastric Tube Diagram. Nasogastric or orogastric tube. The dual lumen tube allows for safer continuous and intermittent gastric suctioning.
The percutaneous endoscopic gastrostomy peg tube is attached to the oral end of the suture and the assistant then pulls the suture and peg tube back through the mouth and up through the anterior abdominal wall until the internal bumper sits snugly against the anterior wall of the stomach see fig. Transition the patient from tube feeding when the patient is able to consume 75 of their nutrient needs through an oral diet when another feeding modality is used or when tube feeding is no longer consistent with the patients management plan. After 4 hours n flush the tube with 50ml of sterile water n prolonged or check the stoma site small amounts of serous fluid will be present.
Gastrostomy tube in situ.
The salem sump also called the gastric sump or ventral tube is the second most commonly used ngt. The large lumen allows for easy suction of gastric. Reducing the risk of vomiting or aspiration eg. Gastric distention poses several problems such as the high risk of aspiration decreased in venous return and increased intra abdominal pressure which all hinder adequate.