What to do if your child's G or GJ tube is accidentally pulled out

These instructions are part of a teaching program for families of patients at The Hospital for Sick Children. They are provided in addition to detailed hands-on training. We urge you not to follow these instructions without training and advice from a healthcare professional who understands your child’s unique needs. Please also review these instructions with your doctor to check if they are suitable for your situation.

Please visit https://www.aboutkidshealth.ca/tubefeeding for more information on G Tubes.

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DISCLAIMER:
Follow this video only if your medical team or G tube specialist has told you to place a temporary tube into your child's stoma in the event that your child's tube has been accidentally pulled out. If your medical team has not told you to place a temporary tube, or if you are unsure if you should, contact your medical team or G tube specialist before taking action.

VIDEO CHAPTERS

00:00 - When to insert a temporary foley type tube

01:10 - Inserting the foley type tube

01:14 - Step one: Gathering your supplies

01:30 - Step two: Prepare the supplies

02:09 - Step three: Wash your hands

02:29 - Step four: Insert the tube

03:29 - TIP: Try to insert the tube when your child is taking a breath

03:44 - STOP: If you cannot insert the tube, don't force it!

03:59 - Congratulations! You have now prevented your child's stoma from closing!

04:09 - IMPORTANT: You should not use the temporary foley type tube for feeds, medications or fluids

04:28 - If you cannot insert your child's foley-type tube, contact your G tube specialist or go to the emergency department of the hospital that manages your child's tube.

04:35 - G tube placed more than 8 weeks

04:52 - STOP! If you do not have pH strips, do not use the tube until the placement has been checked by your G tube specialist or an interventional radiology department

05:30 - TIPS: If you cannot get any stomach contents, move your child side-to-side or sit them upright. Sometimes you get air before stomach contents will flow

06:25 - STOP: If your child recently had their medication or feed, the pH may be higher than 6 because of this. If your child's stomach contents look like any of these pictures, you may continue to use the tube

06:41 - If the pH is 6.0 or higher and the tube was very difficult to get in or the stomach contents do not look like the examples, it may not be safe to use the foley-type tube. Do not use the tube and recheck the pH in one hour

06:54 - If it is still 6.0 or higher, do not use the foley-type tube. Contact your G tube specialist to arrange a tube change or, after hours, go to the emergency department of the hospital that manages your child's tube

07:08 - STOP: When you start giving feeds with the new tube, watch for discomfort, feeding intolerance such as vomiting or trouble breathing. If you see these problems, stop the feed right away and not use the tube. Contact your G tube specialist or go to the emergency department. The tube may be in the wrong spot

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Видео What to do if your child's G or GJ tube is accidentally pulled out канала AboutKidsHealth - The Hospital for Sick Children