If you are here it is probably because you have experienced the frustration of having to reinsert your child’s nasogastric (ng) feeding tube, only to see it peeling off their face half and hour later, or having them pull it out with a swift tug.
Dominic had a ng tube for a long time and over the months, after watching in despair as tube after tube got pulled out, I developed a very specific way of taping the feeding tube to prevent Dominic being able to yank it out. Even though he now has permanent feeding tubes and I have no need of this taping technique any more, I thought that it might help someone else so have decided to post it. Step by step instructions are below.
- Get everything that you need ready and close to hand.
- It’s obviously easier if you are doing it with a second person, but if you are alone, wrapping the child in a blanket so they can’t grab the tube is key to being successful.
- Make sure you’ve measured how much tube needs to be inserted before you begin and that you have your syringe already out of the packaging and pH testing strips close to hand.
- Have your tape ready cut (and if this is your first time perhaps spare pieces in case you mess up) and think about having a table or something similar close by so you can remove the backing and stick them to the corner of the table ready for when you need them. See the pictures below for an idea how the tape should look.
- Wrap your child in a blanket and lay them on their side, over your knees so you can tuck the top of their uppermost arm under your armpit if you need to use two hands for any fiddly bits.
- Insert the nasogastric tube (please don’t attempt to do this unless you have been trained).
- Test the pH to check it is in the right position. If your child is especially wriggly you might want to wait until the tube is well stuck down before doing this.
- Stick on whatever tape you are using to protect the skin.
Now this is the most fiddly part, but it is the trick to preventing the child from being able to pull the tube out by grabbing the end.
- You need a piece of tape about a third of the length of the cheek that has a cut up the middle (lengthways) so it looks like a pair of trousers.
- You want to position the tape so the ‘legs’ of the trousers are pointing towards the nose.
- Stick the end of the tape down onto the cheek leaving the legs free, the tube should not be stuck to this part of the tape, but be lying over the top of it.
- Place the tube between the two legs of the tape, now cross one of the legs diagonally across the tube and stick.
- Place the other leg diagonally going the other way and stick.
- Make sure you have a second piece of tape that is long enough to cover the area from the corner of the nose up to and including the legs of the first piece of tape. This piece of tape should have a small slit in it which should be placed pointing towards the ear.
- Push any nasogastric tube that has bulged out back in so the tube is lying as flat as it can and stick the tape down making sure that the mini legs sit either side of the tube strengthening where the tape underneath starts to cross.
- Now the tube is secure you need to check its position with your pH testing strips, or recheck if you did this earlier but you think there is a chance the tube could have moved.
Give your child a huge hug and go and find something nice to do together.
Maintaining good oral habits from a very young age is essential. A person must know about their complete oral health condition and get regular check-ups done. Hornsby clinic is one such clinic where they use new age technology that gives you a perfect smile that you always desired.