Pemasangan OGT

Summary

This video demonstrates the preparation and process of inserting a Nasogastric Tube (NGT) or Oxygen Bio-Dose (OBD) for children. It outlines the necessary equipment such as feeding tubes, syringes, stethoscopes, and hypoallergenic tape. The procedure is explained step-by-step, from ensuring the correct tube size to verifying proper placement using warm water. Interactions with the child show how to keep them calm during the process. The video emphasizes safety, comfort, and post-procedure care, offering a clear and informative guide for healthcare professionals working with pediatric patients.

Takeaways

• 😀 The preparation for NG tube (NGT) installation for infants and children requires careful selection of equipment based on the patient's size and condition.
• 😀 Different tube sizes must be chosen according to the age and weight of the child, with options like size 6 for low birth weight babies and size 8 for newborns.
• 😀 A warm water container is essential for checking if the feeding tube is correctly placed in the stomach.
• 😀 Necessary supplies include gloves, hypoallergenic plaster, stethoscope (with a smaller diaphragm for children), and various adhesive tapes.
• 😀 Silocaine gel and a syringe (10-50cc) are needed for smooth insertion of the tube, depending on the patient's age.
• 😀 The procedure involves the use of tools like a tongue depressor for inserting the tube, and a penlight to ensure the tube passes correctly into the oropharynx.
• 😀 It is important to have a backup in case the initial supplies are insufficient, such as extra adhesive plasters and scissors.
• 😀 The process also requires a bed protector and clean hands to prevent contamination during the procedure.
• 😀 Regular checks must be performed to ensure that the NG tube is positioned correctly and does not enter the respiratory system.
• 😀 After the procedure, monitoring and comfort care for the child are essential, with instructions to the caregiver regarding post-procedure care and follow-up.

Q & A

What is the purpose of the equipment prepared in the video?

The equipment is prepared for the installation of an OBD (or NGT) tube on a baby or child. It is used to insert a feeding tube into the stomach of the patient.

What types of feeding tubes are mentioned, and what are their uses?

The feeding tubes mentioned are numbered 6, 8, and 10. Number 6 is for low birth weight babies, number 8 is for newborns, and number 10 is for children.

What is the purpose of the warm water in the procedure?

The warm water is used to check whether the inserted feeding tube is correctly placed in the patient's stomach.

What are the key components involved in the tube insertion process?

The key components include the feeding tube, warm water for checking placement, gloves, plasters (hypoallergenic and other types), and a stethoscope for confirmation.

What does the 'hypoallergenic plaster' refer to in the context of this procedure?

Hypoallergenic plaster is used for securing the feeding tube in place, ensuring that it is safe for the patient without causing skin irritation.

Why is a stethoscope used in this process?

A stethoscope is used to confirm that the feeding tube is properly inserted by listening for signs that it is in the correct place, particularly in the stomach.

How does the procedure ensure the tube placement is correct?

The procedure involves checking the tube placement using warm water to verify it reaches the stomach, along with using a stethoscope to listen for correct placement.

What is the role of the tongue depressor in the procedure?

The tongue depressor is used to help visualize the oral cavity and facilitate the correct insertion of the tube by gently holding the tongue in place.

What is the significance of using a 'penlight' during the procedure?

The penlight helps illuminate the patient's throat to ensure the tube is correctly positioned in the oropharynx, providing better visibility during insertion.

What precautions are taken to ensure the safety of the baby during the procedure?

Precautions include using gloves for hygiene, hypoallergenic plasters to avoid skin reactions, and regularly checking the tube's placement with warm water and a stethoscope.