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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G-TUBE EXCHANGE:
==G-TUBE EXCHANGE==
 
 
BRONZO:
 
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:
 
Will stand on LT side
 
Amplatz 180cm
 
Berenstein
 
 
RAJ:
 
Will stand on LT side
 
 
BRITTANY:
 
Will stand on LT side
 
Amplatz guidewire 75cm


   
   


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


   
   


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

Revision as of 15:21, 7 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)

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:





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