GASTROSTOMY TUBE PLACEMENT

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Equipment Always Necessary

  • Kimberly Clark introduction kit (it will include t-fastners, dilators and peel away sheath)
  • Most likely will use a 18Fr Kimberly Clark tube for 1st time
  • Wire: Amplatz 75cm
  • Lidocaine Gel
  • 60cc Syringe with slip tip
  • Contrast
  • Note that if patient does not have a NG tube will need KMP (5Fr / 65cm), Bentson wire and a 60cc syringe with luer lock
  • 4-0 Monocryl suture

PREP:

  • Supine position
  • Drape: Pediatric Laparotomy T-drape
  • Equipment should be on the LEFT SIDE !!!
  • Prep large area. Include the xyphoid process to the umbilicus. Note that most times we prefer to place this tubes at the midline.
  • Be prepared to use US and / dyna CT, specially if patient did not have preop CT. 
  • Need scout image 

PEARLS:

1st time tubes can be used after 24hrs. Tipically we place them to suction for 24h once they get to the floor. Normally we remove NG tube at the end of the procedure. 

 

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Dressing:

4x4s and tape only.