What is the most common complication of gastric tube placement?
Local wound infection Tube site infection is the most common minor complication following PEG placement. The prevalence varies between 5%-25% in different studies, and in some series it was reported to be as high as 65%[111,112].
How much air do you check in a PEG tube placement?
Alternatively, you may draw 5-10 mL of air into the syringe and attach to the extension set attached to the patient. Using a stethoscope, listen over the left side of the abdomen above the waist. When you inject the air, you should hear a “growl” or rumbling/bubbling sound as the air goes in.
What happens after G-tube placement?
For a couple of days after the procedure, your child may have minor pain and soreness at the incision site. It may feel like a pulled muscle. Your doctor can prescribe pain medications to relieve any discomfort. He or she may need to be fed with intravenous (IV) fluids for the first day or two after G-tube placement.
What are the complications of a PEG tube?
Complications including bleeding, wound infection, tube blockage, tube leakage, aspiration pneumonia, perforation, and buried bumper syndrome are associated with PEG [17].
What is one of the most common health complications related to feeding tube usage?
Complications Associated with Feeding Tube
- Constipation.
- Dehydration.
- Diarrhea.
- Skin Issues (around the site of your tube)
- Unintentional tears in your intestines (perforation)
- Infection in your abdomen (peritonitis)
- Problems with the feeding tube such as blockages (obstruction) and involuntary movement (displacement)
How much residual is too much?
Use the syringe to rinse the feeding tube with 30 ml of water. If the gastric residual is more than 200 ml, delay the feeding. Wait 30 – 60 minutes and do the residual check again. If the residuals continue to be high (more than 200 ml) and feeding cannot be given, call your healthcare provider for instructions.
Which of the following is the most serious complication of tube feeding?
Aspiration. Aspiration is one of the most important and controversial complications in patients receiving enteral nutrition, and is among the leading causes of death in tube-fed patients due to aspiration pneumonia.
What happens if feeding tube is in wrong place?
In this medical malpractice case, improper PEG tube placement technique cause damage to the bowel and subsequent surgeries. During a normal PEG feeding tube placement, an endoscope is used to transilluminate the abdominal wall while palpating the abdominal wall.
How do you know if a PEG tube is dislodged?
If you suspect internal tube displacement, stop tube feedings and contact the physician or NP. A patient with a displaced tube typically complains of abdominal pain that worsens during feeding as gastric contents leak into the peritoneal cavity; also, you may observe external leakage of gastric contents.
What is buried bumper syndrome?
The “Buried Bumper Syndrome” (BBS) is an infrequent and late complication of PEG tubes that can result in tube dysfunction, gastric perforation, bleeding, peritonitis or death.