G Tube: Difference between revisions
From Bay Area Structural Heart Wiki
(Created page with "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...") |
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*Confirm with MD size of tube needed | *Confirm with MD size of tube needed | ||
*If needed, peel away sheaths are 4Fr sizes up from size of G-tube | *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 | |||
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 | *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 | *Enema cocktail – Omnipaque 300 150ml with 800ml lukewarm water | ||
*100% Contrast (hand injection) unless the Physician states otherwise. | |||
* 100% Contrast (hand injection) unless the Physician states otherwise. | |||
*Normal Saline 0.9% 1000 ml | *Normal Saline 0.9% 1000 ml | ||
*Angio pack | |||
Angio pack | *Turtle shell cover | ||
*18Fr G-tube introducer kit (comes with peel away, T-fasteners and wire) | |||
Turtle shell cover | *14Fr G-tube | ||
*Bag (sterile core) (Vented G Tube bag – overstock cabinet) | |||
18Fr G-tube introducer kit (comes with peel away, T-fasteners and wire) | *Drain Sponge | ||
*Hypofix tape | |||
14Fr G-tube | *12cc syringe (extra) | ||
*Enfit drainage bag | |||
Bag (sterile core) (Vented G Tube bag – overstock cabinet) | *Lidocaine Jelly | ||
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 | *Slide G-tube over Conquest balloon | ||
*Bronzo will inflate balloon inside tract and slide G-tube over as balloon is deflating | *Bronzo will inflate balloon inside tract and slide G-tube over as balloon is deflating | ||
*Will stand on RT side or Lt side | |||
Will stand on RT side or Lt side | |||
==Dare== | |||
*Will stand on LT side | |||
Will stand on LT side | *Amplatz 180cm | ||
*Berenstein | |||
Amplatz 180cm | |||
Berenstein | |||
==Raj== | |||
Will stand on LT side | Will stand on LT side | ||
==Brittany== | |||
*Will stand on LT side | |||
Will stand on LT side | *Amplatz guidewire 75cm | ||
Amplatz guidewire 75cm | |||
==Samir== | |||
==Lynne== | |||
*Will stand on LT side | |||
Will stand on LT side | |||
Slit Gauze | ==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 | |||
[[Category:IRProcedures]] |
Latest revision as of 17:47, 11 November 2024
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