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Silicone NGT

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I work on a GI surgery floor and we use a lot of NGTs. I hear a lot of debate though about whether silicone NGTs are preferred over the stiffer plastic ones. On the pro-silicone side, I've heard they are more comfortable for the pt, and with how much NGTs seem to make most people utterly miserable, this is a big factor. On the con side, I've also been told they are less effective and more difficult to insert r/t being more prone to folding in on itself. I can understand both arguments, but haven't done enough personally to have a strong opinion on it.

Anyone want to weigh in?
we use 2 types of NGlarger bore for drainage these are stiffer rarely used.and thin bore probaly latex these come with guidewire for enteral feeds. of all the nurisng skills i dislike placing ng i rarely have to do it and every pt so far has been confusedi

Comment:
I find placeing the silicone easier. They are much smaller, and have a guidewire to keep them stiff for insertion. The large bore tubes are meant only for suction. If they are to be feed through the tube, it should be changed to a dobhoff (or other name brand) of small bore feeding tube. AACN recently had an article out about this (I think last month?).

Comment:
Quote from ObtundedRNI find placeing the silicone easier. They are much smaller, and have a guidewire to keep them stiff for insertion. The large bore tubes are meant only for suction. If they are to be feed through the tube, it should be changed to a dobhoff (or other name brand) of small bore feeding tube. AACN recently had an article out about this (I think last month?).

Comment:
You will not be able to drain through a fine bore feeding NGT. You need a Rhyles tube with the big holes on it for decompression and drainage. I flick size 16 down all the time for bowel obstructions and bring up faceal matter from small bowel obsrtuctions that have caused a back log! The bigger the better in that case!Don't put anything down them unless they are x rayed.

Comment:
Quote from CharmedJ7Interesting. So given that we predominantly use them on my floor for gastric decompression/suctioning r/t intractable vomiting, the large bore (stiffer) tubes probably are better?
Author: alice  3-06-2015, 17:09   Views: 184   
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