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Feline NG Tube Placement

Views: 8355 - Comments: 6

Heidi Feltz, CVT, places a nasogastric feeding tube in a cat under the guidance of Megan Brashear, CVT, VTS(ECC). Placement, testing for correct positioning, and securing the tube are discussed.

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Heidi Feltz's picture
Heidi Feltz

CVT

Enrolled: 08/2011

Megan Brashear's picture
Megan Brashear

CVT VTS(ECC)

Enrolled: 07/2011

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Heidi Ramirez's picture

How uncomfortable is that for the cat? Is he able to feel the suture needle? Being that he was a bit sedated how difficult is it to do on an animal that is fully awake? I enjoyed the video.

Megan Brashear's picture

Hi Heidi, I think uncomfortable is a good word to use for the placement of a nasogastric tube. It's not a painful procedure, but because it's a cat, many of them need a fair amount of sedation and often anesthesia to place and secure the tube. Suturing is often the most difficult part and quite challenging on a wide awake patient; I worry about that suture needle and their eyeballs... I know some places that secure these tubes with a small dab of superglue - anyone have anything to say good or bad about that?

Heidi Ramirez's picture

Thank you Megan, I would think that the super glue would be less invasive and not as dangerous but animals can move in weird ways sometimes and with the super glue they may have an easier time ripping out the tube than with the suture. Tough choice for sure.

Liz Hughston's picture

When I place NG/NE tubes or nasal canula I put proparicaine in each naris and a drop in each eye as well. I find the drops in the eyes help to numb the whole front of the face and they tolerate placement fairly well.

Lucas Fults's picture

So I was trained to secure my NG tubes with staples on small tape tabs. Have you always used finger traps, and if not - how did you decide upon them as your securing technique? I have yet to write my SOP for NG/NE/NO2 placements, so this is a great time for me to make adaptations.

Megan Brashear's picture

Lucas, we have been fingertrapping the tubes for a few years now. We used to use a tape tab but with time the tape gets wet from the animal's breathing condensation and the tube can move within the tape. Occasionally we will place a staple at the nares but for almost all patients the fingertrap holds well and keeps the tube from backing out. There are certainly many opinions and ways to do it, I'm an advocate of what works for your team and your patients!