ISSN 2398-2969      

Nasogastric intubation

Clapis

Synonym(s): Nasoesophageal intubation


Introduction

  • To insert a catheter via the nasal passages into gastrointestinal tract to provide a route for direct feeding/fluid administration.

Uses

  • Administration of:
    • Nutrition to debilitated or anorexic patient.
    • Nutrition whilst avoiding oral cavity.
    • Drugs or radiographic contrast agents avoiding oral route.

Advantages

  • Simple procedure.
  • Flexible but secure route of administration.
  • Usually well-tolerated by patient.
  • Equipment readily available in practice.

Disadvantages

  • Animal may dislodge tube if not securely fixed.
  • Potential risk of tracheal placement.
  • Stress and collar induced inappetance.
  • Rabbits need a source of long, indigestable fibre in the diet. Many critical care diets for rabbits that contain enough long fibre are too thick to pass down a 4 to 8-Fr feeding tube.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Rosen L B (2011) Nasogastric tube placement in rabbits. J Exotic Pet Med 20 (1), 27-31 VetMedResource.
  • Brown C (2010) Nasogastric tube placement in the rabbit. Lab Anim 39 (1), 14-15 PubMed.
  • Powers L (2005) Techniques for drug delivery in small mammals. J Exotic Pet Med 15 (3), 201-209 ScienceDirect.

Other sources of information

  • Richardson J & Keeble E (2014) Physical Examination and Clinical Techniques In: Manual of Rabbit Medicine Eds. Meredith A & Lord B. BSAVA. pp 80-107.
  • Varga M (2014) Rabbit Basic Science In: Textbook of Rabbit Medicine. 2nd edn. Butterworth-Heinemann, Oxford. pp 3-108.

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