How is such a thing laid?
As with any medical procedure, preparation plays an important role in the positioning of a stomach tube. For this purpose, consent must first be obtained together with a signed consent form. Next, all necessary utensils should be prepared.
This includes, for example, the probe with length marker, gel, a local anesthetic if necessary, gloves and a stethoscope. Furthermore, it must be decided whether the probe should be placed through the mouth or through one of the two nostrils. Afterwards, the further procedure depends on whether the procedure is performed in an awake state or under general anesthesia.
In general anesthesia the stomach tube can be inserted into one of the openings without further precautions. If the person is awake, the mouth and throat area must first be anaesthetised locally with a spray before insertion. In addition, the probe is smeared with gel, which also causes local anesthesia.
After a short time, the mouth and throat area is numb or numb, so that no gag reflex is provoked. Then the tube can be passed through the throat when stretched. Subsequently, the risk of inserting the probe into the trachea is reduced by tilting the head.
The probe is pushed further to the previously set length mark. Whether the end of the gastric tube is in the stomach is checked by examining the throat. Air can also be forced through the tube with a syringe.
If the stomach is monitored with the aid of a stethoscope, bubbling will be detected if the tube is correctly positioned. If this is also not clear, an X-ray is taken. The tube of the stomach tube is then fixed in place with adhesive strips in the area of the mouth or nostrils so that it cannot slip.
The position of a gastric tube should not be painful per se. The local or general anesthesia should eliminate all sensations. Sometimes it happens that the insertion of the stomach tube causes an unpleasant gagging sensation. It can also cause slight pain if the anesthesia is not appropriate.It is also possible that slight injuries to the mouth and throat area may occur. This can lead to bleeding or be perceived as pain as soon as the local anaesthetic is no longer effective.
