| 1.- |
Balloon and inflation valve of each tube should be tested
by inflation prior to use. Using a luer tip syringe, test inflate balloon
with air, then evacuate balloon completely. |
| 2.- |
Lubricate with a water soluble lubricant |
| 3.- |
If during insertion an obstruction is encountered, do not
force the tube. |
| 4.- |
The surgeon should guide the tube through the pylorus, palpating
the balloon to determine correct placement in the stomach. |
| 5.- |
Inflate the balloon with 30 cc water and position without
tension at the cardia. |
| 6.- |
Adjust barrier until it almost contacts the patient's nose. |
| 7. - |
Withdraw and discard the spring obturator. |
| 8.- |
Apply continuous suction (40-100 mm Hg). Note: The lower levels
of suction are adequate if the trap bottle is below level of the patient. |
| 9.- |
Irrigate aspiration channel with 60 ml bolus of warm water
or saline every two hours and as required, keeping the patient's head elevated
to reduce the chances of aspiration. |
| 10.- |
The patient should sip clear, preferable warm liquids (e.g.,
tea) to serve as an additional irrigant and to monitor tube function. Swallowed
bolus should return promptly. |
| 11.- |
Phlegm should be expectorated, not swallowed. Tissues and
a waste container must be made available to the patient. |
| 12.- |
Feed full strength elemental diet at 75-150 ml/hour via the
feeding channel. |
| 13. |
Deflate balloon and withdraw tube following currently accepted
medical techniques. |
| 14. |
Discard soiled tube. |
