G Tube
From Bay Area Structural Heart Wiki
G TUBE & GJ TUBE & J TUBE PLACEMENT/EXCHANGE
- Confirm with MD size of tube needed
- If needed, peel away sheaths are 4Fr sizes up from size of G-tube
- Ex: 18Fr peel away for 14Fr G-tube, 20Fr peel away for 16Fr G-tube
- Will need sterile water to fill balloon – fill with roughly ¼ contrast and ¾ with water
- Enema cocktail – Omnipaque 300 150ml with 800ml lukewarm water
- 100% Contrast (hand injection) unless the Physician states otherwise.
- Normal Saline 0.9% 1000 ml
- Angio pack
- Turtle shell cover
- 18Fr G-tube introducer kit (comes with peel away, T-fasteners and wire)
- 14Fr G-tube
- Bag (sterile core) (Vented G Tube bag – overstock cabinet)
- Drain Sponge
- Hypofix tape
- 12cc syringe (extra)
- Enfit drainage bag
- Lidocaine Jelly
If patient doesn’t have NG tube
- Bernstein catheter 65cm
- 3-way stopcock
- 3J guide wire 145cm
- Blue bulb inflation (nurse cart – bottom drawer) or 60cc syringe
Bronzo
- Will stand on RT side
- 2 – 3 T Tacks with contrast syringe
Dare
- Will stand on LT side
- 2 – 3 T Tacks with contrast syringe
- No enema except in select cases
Raj
- Stand on Lt side
- Yueh needle
- Will use wire in the kit (Amplatz guide wire 75cm- standby)
- 2 T-TACS with K-50 and contrast syringe
- Stand on LT side
Brittany
- Stand on LT side
- 2 x t Tacks w/ K50 tubing & contrast syringe
- 1G Ancef (RN)
- 1mg Glucagon (RN)
- Telescoping peel away sheath
Evan
Samir
Lynne
- 2 T-TACS with K-50 and contrast syringe
- Stand on LT side
G-TUBE EXCHANGE
Bronzo
- Inflation device
- Conquest balloon
- Slide G-tube over Conquest balloon
- Bronzo will inflate balloon inside tract and slide G-tube over as balloon is deflating
- Will stand on RT side or Lt side
Dare
- Will stand on LT side
- Amplatz 180cm
- Berenstein
Raj
Will stand on LT side
Brittany
- Will stand on LT side
- Amplatz guidewire 75cm
Samir
Lynne
- Will stand on LT side
GJ TUBE PLACEMENT/ J EXCHANGE
- Angio pack
- Turtle shell cover
- 12cc syringe
- GJ-Tube Introducer kit
- GJ Tube
- J Tube (for J Tube exchange)
- Bernstein catheter 65cm
- Stiff Glide wire 180cm
- Torque device (if needed)
- Slit Gauze
- Hypofix tape
