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  
 
Slit gauze
 
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:
 
Wil 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:


   
   


===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


   
   


SAMIR:
==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:
==Lynne==
*2 T-TACS with K-50 and contrast syringe
*Stand on LT side


   
   


BRONZO:
==G-TUBE EXCHANGE==
 
Inflation device
 
Conquest balloon


==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:
==Dare==
 
*Will stand on LT side  
Will stand on LT side  
*Amplatz 180cm  
 
*Berenstein  
Amplatz 180cm  
 
Berenstein  


   
   


RAJ:
==Raj==
 
Will stand on LT side  
Will stand on LT side  


   
   


BRITTANY:
==Brittany==
 
*Will stand on LT side  
Will stand on LT side  
*Amplatz guidewire 75cm  
 
Amplatz guidewire 75cm  


   
   
==Samir==


SAMIR:
==Lynne==
 
*Will stand on LT side  
 
 
 
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  
==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


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
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