G Tube

From Bay Area Structural Heart Wiki
Revision as of 23:00, 6 November 2024 by Suddemj (talk | contribs) (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...")
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

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