Bard Nasogastric Sump Tube With Prevent Anti Reflux Filter

Instructions For Anti Reflux Valve NG Tube

1. Explain the procedure to the patient.
2. Carefully measure desired length of the tube using the Nasogastric Tube as a measurement aid. To determine the insertion length: measure the tube from the tip of the nose to the earlobe and from the earlobe to the tip of the xiphoid process. Mark the length of the tube to be passed with a small piece of tape.
3. Check the patients nostrils for patency, select the nostril with best patency.
4. Lubricate the full length of tube to be inserted.
5. Insert the tube through the nose aiming down and back. When the tube hits the pharynx, if patient is able, have him or her flex his/her head forward and swallow. Advance the tube as the patient swallows. If resistance is met, rotating the tube may facilitate placement.Continue to advance the tube until the marked position on the tube is reached. DO NOT advance beyond the marked length as coiling and or knotting of the tube in the stomach may occur.
6. Confirm tube placement per hospital policy. The tube has a radiopaque stripe facilitating X Ray confirmation. If proper placement of tube within the stomach cannot be confirmed, remove the tube gently and start the procedure again.
7. Secure with a securement device or tape per hospital protocol.
8. Ensure 5 in 1 adapter or lopez valve is snugly inserted into suction lumen to prevent suction loss.
9. Keep blue vent lumen above the level of the patients stomach to prevent reflux of stomach fluids into the blue lumen.
10. DO NOT clamp air vent port while suction is being applied.

Warnings

• Use with caution in patients with a history of head trauma, facial trauma, esophageal diseases and patients with potential for vomiting.
• Do not force Nasogastric Tube during insertions, damage to the nasal passage and mucosa and bleeding may occur.
• Measure Insertion Length Carefully Excessive insertion length of tube into the stomach may lead to cooling and/or formation of tube knot.
• Lubricate the tube generously with water soluble lubricant prior to insertion. DO NOT use petroleum-based products as they may be harmful to the respiratory tract.
• Reflux of gastric contents into the blue vent lumen indicates that the suction lumen is obstructed or suction is too low. Routinely check for reflux in the blue vent lumen and clear as per applicable directions. Failure to clear the obstruction. Filter may cause gas and fluid buildup in stomach, aspiration of gastric contents, aspiration pneumonia other complications. 
• DO NOT inject fluid through the prevent Filter as this may result in blockage and leakage of filter.
• Monitor patient for nasal erosion, sinusitis, esophagitis, esophagotracheal fistula, gastric erosion and pulmonary and oralinfections.

Frequently Asked Questions

What is the main purpose of the anti-reflux filter on this tube?

The anti-reflux filter prevents gastric fluid from flowing back into the tube, keeping clinicians safe from contact with stomach secretions.

Can this tube be used for both children and adults?

Yes, the Bard Nasogastric Sump Tube is suitable for both pediatric and adult patients.

How is proper placement of the tube confirmed?

Proper placement is confirmed using X-ray imaging as the tube has a radiopaque stripe. If placement cannot be confirmed, gently remove the tube and retry the insertion.

What precautions should be taken during insertion?

When inserting the tube, avoid forceful insertions, measure carefully, and use a water-soluble lubricant. Patients with specific medical histories should be approached with caution.

What are the potential risks of unaddressed reflux in the blue vent lumen?

Unaddressed reflux in the blue vent lumen can lead to complications, including aspiration of gastric contents, aspiration pneumonia, and other related issues.

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