Nasogastric feeding tube, disposable, sterile

Swallowing functions may be impaired in people after a stroke or other conditions. Rehabilitation of such patients usually falls on the shoulders of loved ones. The patient cannot eat on his own for some time. And eating is one of the important conditions for rapid restoration of strength.

Our medical center offers a service for a doctor to visit your home to install a nasogastric tube.

You can arrange a doctor's home visit by phone or by filling out the online form.

Our specialists can perform the following manipulations at home:

• Treatment of surgical diseases at home
• Diagnosis of surgical diseases at home
• What services does the surgeon provide at home?
• Carrying out dressings at home
• Removing stitches at home
• Opening an abscess at home
• Removal of atheroma at home
• Removing an ingrown toenail at home
• Removing ingrown hair at home
• Lipoma removal at home
• Callus removal at home
• Molluscum removal at home
• Removing felon at home
• Plantar wart removal at home
• Nail removal at home
• Treating burns at home
• Opening a boil at home
• Treating bedsores at home
• Installation of a nasogastric tube at home

What is a probe

A nasogastric tube is also commonly called a feeding tube. It is inserted directly into the patient's stomach through the nasal passage and esophagus. It is essentially a hollow tube with rounded ends to prevent tissue damage during insertion. The tube is made of light, elastic and absolutely hypoallergenic material. There is a special funnel on the outside. Through it, food is supplied to Zhane using a syringe. In the normal state, the hole is protected by a special cover, which prevents foreign objects from entering the probe. Employees of the patronage service know all the intricacies of feeding a patient through a tube.

Feeding tube (nasogastric)

A nasogastric tube (feeding tube) is an ideal solution for providing enteral nutrition to patients who cannot feed themselves and administering medications to them. An enteral feeding tube is ideal for nasal insertion, inserted through the mouth or nose and delivering enteral nutrition.

Buy a nasogastric tube (nutritional tube):

• Nasogastric feeding tube | "Integral", China
• Nasogastric feeding tube | Apexmed, China
• Nasogastric feeding tube | "Viroban", Russia
• Nasogastric feeding tube for children | "TRO-NUTRICATH paed, Germany (residues)
• Adult nasogastric feeding tube / “TRO-NUTRICAT” Germany (remains)

Quality standards: GOST R ISO 10555.1-99, GOST R ISO 10555.2-99, GOST R ISO 10993 (parts 1,2,5,10), GOST R 52770-2007

Nasogastric tube placement algorithm:

Before starting work, lubricate the probe tip. Administer through the mouth or nose; after insertion, make sure that the probe is in the stomach (small intestine). The enteral feeding tube can be used for three weeks without loss of properties.

Nasogastric feeding tube diagram

A - probe body; B - cannula; C - cap; D - marks; E - rounded atraumatic end; F - lateral holes.

Main indications for use

Eating through a tube is carried out in cases where the patient is not able to do this on his own. His swallowing function is depressed, there is no clear consciousness, or there are serious lesions in the throat and oral cavity. The probe is most often installed in the following cases:

• After a stroke, if we are talking about damage to the areas of the brain that control the swallowing reflex, the function may be partially or completely inhibited. A return to normal eating habits is possible after completion of rehabilitation. In case of extensive damage and advanced age of the patient, enteral nutrition can be permanent.
• For physical injuries - head injuries, severe swelling of the tongue and larynx.
• If the patient is in a coma or unconscious.
• With the development of psychological disorders, when the patient refuses to eat.
• Neurological diseases (multiple sclerosis, Parkinson's, Alzheimer's), accompanied by corresponding disorders.
• During surgical interventions in the gastrointestinal tract.

Enteral feeding is prescribed in cases where the traditional form of eating is impossible or difficult, if the patient may choke, or if incoming food may infect damaged tissues and organs.

Nasogastric feeding tube “Apexmed International BV”, Netherlands

Made from transparent polyvinyl chloride, implantation-free and non-toxic. The Apexmed feeding probe has an atraumatic terminal end and a radiopaque line.

Label location:

Length 1200 mm: 500 mm, 600 mm, 700 mm, 800 mm, 900 mm from the distal end;

Length 400 mm: 150 mm, 160 mm, 170 mm from the distal end.

Sterilization: ethylene oxide.

Single use.

Shelf life: 5 years

Instructions for use:

• measure the distance from the tip of the nose to the earlobe, mark this distance on the probe (1st mark);
• measure the distance from the incisors to the navel plus the width of the patient’s palm, mark it on the probe (2nd mark - “entrance to the stomach”);
• lubricate the probe with sterile glycerin or sterile vaseline oil;
• insert the probe through the nasal passage first to a distance of up to 1 mark;
• then, making sure that the probe is at the root of the tongue, continue inserting the probe up to the 2nd mark;
• make sure that the probe is in the stomach (auscultation of the epigastric region after introducing 20 ml of air into the stomach through the probe);
• secure the free end of the probe to the patient’s cheek using an adhesive plaster or a special set;
• connect a syringe or enteral nutrition system with a nutritional mixture to the probe cannula;
• at the end of feeding, rinse the probe with 30-50 ml of water;
• Before the next administration of the nutritional mixture, close the end of the probe with a special plug and attach it with a plaster on the cheek;
• remove the probe through a napkin moistened with a disinfectant solution;
• process and dispose of the probe in the prescribed manner.

Manufacturer: Аpexmed International BV , Netherlands (Apexmed)

Installation procedure

Manipulations can be carried out in a hospital setting or at home, but they should only be performed by a specialist. It is advisable that the patient is conscious at the same time, otherwise the probe tube may get into the respiratory tract. To prevent this, the patient makes a swallowing movement during passage. If this is not possible, the doctor guides the device into the patient's throat with two fingers.

Nasogastric feeding tube TRO-NUTRICATH and children's (pediatric) TRO-NUTRICATH paed

Nasogastric feeding tube for children TRO-NUTRICATH paed - is a hollow tube equipped with a sealed Nelaton type tip with two side holes and

connector for connecting to dosing devices. The nasogastric tube is intended for enteral nutrition and administration of medications into the gastric cavity. Can be used in neonatology, pediatrics and adult patients.

Properties and advantages of the TRO-NUTRICATH probe and TRO-NUTRICATH paed: - made of neutral polyvinyl chloride (PVC), which allows the probe to be used for three weeks without deteriorating their properties, without allergic reactions; — the rounded, soft end of the probe ensures easy, atraumatic and painless insertion. — the presence of side holes at the end contributes to the fullest possible flow of nutritional mixtures and drug solutions into the stomach, sufficient drainage of the stomach and reduces the risk of developing dumping syndrome; — the connector is equipped with a hermetically sealed plug that prevents the leakage of liquid and prevents infection of the contents of the probe; — the probe connector has an adapter, thanks to which the nasogastric tube is compatible with devices of two types of connection: Luer and Catheter-type (with standard-volume syringes, large-volume syringes, automatic dosing devices); — a radiopaque strip along the entire length, and marks every 10 cm, make it easier to determine the position of the catheter in the gastrointestinal tract; — the connector is color-coded depending on the size of the nasogastric tube (in accordance with ISO standards), which makes it easy and quick to select the required size; — Size range: NUTRICATH paed — 4-10 Fr (length 50 cm) NUTRICATH — 6-24 Fr (length 105 cm); — sterile individual blister packaging (paper + plastic film).

Shelf life: 5 years

Manufacturer: TROGE MEDICAL GMBH, Germany (Remains)

Size chart Nasogastric feeding tube for children (pediatric) TRO-NUTRICATH paed:

Size chart for adult nutritional probe TRO-NUTRICATH:

Nutritional Features

If the patient feels normal after installation, you can start eating immediately. All dishes served must have only a liquid consistency. They should be warm, that is, temperatures of 37-39 degrees. Hot foods may cause burns.

It is necessary to increase the volume of servings gradually; the first two or three times it should not be more than 100 ml. In the future it can be increased to 300 ml. The following products are best suited for enteral nutrition:

• Kefir;
• Fish, meat, vegetable broths;
• Thoroughly mashed puree;
• Rare porridges, especially semolina;
• Special mixtures.

Ready-made dry mixtures can be used as a basis for nutrition or in addition to the diet. They are rich in protein, which bedridden patients often lack.

The number of meals should be no more than 5, but not less than 3. A sterile syringe must be used for administration each time. The nursing service specialists strictly follow all the rules for feeding through zones and carefully monitor the hygiene of the entire process.

Gastric tube for enteral nutrition (nutritional) “Viroban”, Russia

Gastric tube for enteral nutrition (also known as nutritional), sterile, single use - intended for enteral nutrition and drug administration. Made of transparent medical thermoplastic PVC (softens under the influence of the temperature of surrounding tissues), which provides visual control and timely detection of the probe lumen block. It consists of a transparent tube with a closed distal end and an open proximal end in the form of a universal funnel-shaped connector with a cap. The presence of four side holes reduces the risk of blocking the distal end of the probe (lumen blockage).

Dimensions: — length 40 cm (pediatric); — length 120 cm (adult).

The depth of insertion of the probe is visually controlled using special, indelible marks. The marks are applied using a laser and are located at a distance: - on a probe 40 cm long - 15 cm, 16 cm, 17 cm from the distal end; - on a probe 120 cm long - 50 cm, 60 cm, 70 cm, 80 cm from the distal end. Color-coded Luer-Hub connector with cap ensures quick determination of the required probe size. Packaging: The product is packaged in an individual sealed bag, ensuring the preservation of operational and medical qualities throughout the shelf life. Sterile, non-toxic, pyrogen-free. Sterilized with ethylene oxide.

Shelf life: 5 years

, Russia

Enteral feeding tube, length 120 cm (marks on the tube are 50 cm, 60 cm, 70 cm, 80 cm from the distal end)

Enteral feeding tube PEDIATRIC, length 40 cm (marks on the probe 15 cm, 16 cm, 17 cm from the distal end)

Feeding process

The procedure is carried out according to the following algorithm:

• The patient's body is given a semi-sitting position;
• The outer part of the probe is lowered below the patient’s neck and compressed with a special clamp;
• The funnel is connected to the syringe, it rises to a level of up to half a meter above the stomach, after which the clamp is removed.
• Food is served slowly, with virtually no pressure; no more than 150 ml should be administered in 5-6 minutes.
• After finishing feeding, it is necessary to rinse the area by applying 30-50 ml of water through it.
• Next, the tube is clamped again, lowered, and the inlet is closed with a plug.

Tube is a modern and effective way of feeding seriously ill patients. It has a lot of advantages. Unlike intravenous nutrition, in this case atrophy of the gastric mucosa is not allowed, the gastrointestinal tract system remains in working order. The enteral system can be used for a long time. The probe is installed for three weeks. The administration procedure must be carried out by a doctor, and he must also give his recommendations regarding the feeding procedure and diet.

Nasogastric feeding tube "INTEGRAL Medical", China

The Integral nasogastric feeding tube is made of transparent, implantation-free, non-toxic polyvinyl chloride. The material is thermoplastic and softens under the influence of the temperature of surrounding tissues. A radiopaque line is built into the wall of the probe along its entire length. The special arrangement of the side holes, which significantly reduces the risk of developing “dumping” syndrome. When twisting the nasogastric tube, do not

the lumen is blocked. Luer type connector, adapted for use with automatic dosing devices. Equipping the connector with a hermetically sealed plug prevents fluid from leaking out and prevents contamination of the catheter contents.

Label location:

Length 1200 mm (Ch/Fr 4-18): 500 mm, 600 mm, 700 mm, 800 mm, 900 mm from the distal end;

Length 1000 mm (Ch/Fr 4-18): 450 mm, 550 mm, 650 mm, 750 mm, 900 mm from the distal end;

Length 400 mm (Ch/Fr 4-10): 140 mm, 150 mm, 200 mm from the distal end.

The closed distal end of the probe is carefully machined and rounded to ensure atraumatic placement.

Sterilization: ethylene oxide (EO) Shelf life: 3 years

Manufacturer:

"INTEGRAL Medical" , China "Haiyan", China

Contraindications for gastric lavage

• Stenosis of the esophagus, pharynx.
• Gastric or esophageal bleeding.
• Burns of the esophagus and stomach.
• Presence of convulsions, convulsive readiness.
• Respiratory and heart failure in the stage of decompensation.
• Long-term periods after poisoning with strong solutions of acids and alkalis (more than 6-8 hours).
• Unconscious or stuporous state of the patient when intubation is impossible (at the prehospital stage).
• Acute myocardial infarction and acute cerebrovascular accidents (stroke).
• Motor excitation and active resistance of the patient.

Also purchased with this product:

• Levin probe for duodenal intubation
• Gastric probe PVC with RCP length 110/125 cm. SN-06-34
• GRAVITY ENTERAL NUTRITION SYSTEMS (WITH/WITHOUT BAG)

Dry mixture for enteral nutrition (requires dilution with water)

• Nutrien Standard
• Natrian Standard with dietary fiber
• Nutrien Elemental
• Nutrien Hepa with wild berry aroma
• Nutrien Diabetes
• Nutrien Immun
• Nutrien Nefro
• Nutrien Phthisio with peach flavor

Liquid formula for enteral nutrition (ready to use)

• Enteral nutrition Nutrien Standard ready-made drink 200ml. (Neutral)
• Enteral nutrition Nutrien Standard ready-made drink 200ml. (Strawberry)
• Enteral nutrition Nutrien Standard ready-made drink 200ml. (Vanilla)
• Enteral nutrition Nutrien Standard ready-made drink 200ml. (Caramel)
• Enteral nutrition Nutrien Standard ready-made drink 1000 ml
• Enteral nutrition Nutrien Diabetes ready drink 200 ml
• Enteral nutrition Nutrien Diabetes ready drink 1000 ml
• Nutrizon standard
• Nutrizon with dietary fiber
• Nutrizon energy
• Nutrizon energy with dietary fiber
• Nutrizon advanced Diazon