INFANT FEEDING TUBE

PAEDIATRIC DEPARTMENT
Nepalese Army Institute of Health Sciences
 DESCRIPTION
 Transparent odorless PVC made non
calibrated tube with coned distal end and 2
side openings.

 Fitted with female lure mount for easy

connection to feeding funnel or syringe.

 Disposable sterile ready to use

 Length 52 cm

 Sizes Fr 5,6,7,8,9,10,11,12
 DIAGNOSTIC USES
 Tracheoesophageal fistula
 Choanal atresia
 Imperforate anus
 Meatal stenosis
Infant (inability to insert size Fr 5)
4 years (inability to insert size Fr 8)
10 years (inability to insert size Fr 10)
 Gastric aspiration for AFB
 Catheterization for urine analysis
 Umbilical catheterization for ABG and blood
sampling
 Diagnosis of upper GI bleed
 THERAPEUTIC USES
 Feeding
Orogastric:
 1st measure the length of tube to be

inserted from angle of mouth to tragus to

epigastrium.
 Confirmation of position of tube can be

done by:
Aspiration of gastric contents
Auscultating gurgling sounds in
epigastrium on pushing air into tube.
Nasogastric : done especially in infants.
  Nasoduodenal/Jejunal Transpyloric feeding):
 Length approximately equal to distance

from tip of nose to knee confirmation by:

 yellow color aspirate
 pH >5
 Gastric Lavage
 Catheterization to relieve urinary retention
 Enema
 Drugs
 Constant aspiration (int. Obstruction)
 Gastric decompression
 Exchange transfusion
 suction
 RYLE’S TUBE

PAEDIATRIC DEPARTMENT
Nepalese Army Institute of Health Sciences
 DESCRIPTION
 Disposable, PVC made stomach tube with 4
side openings.

 Provided with corrosion resistant steel balls

at the distal end which provides stiffness to
the tube and therefore easy to introduce.

 Length is 105 cm with markings at 50, 60, 70

cm from tip for accurate placement.
 Sterile, ready to use.

 Size: Fr 8, 10, 12, 14, etc.

 X ray opaque line provided to determine

position of tube.
 USES
 Diagnostic:
Tuberculosis (early morning gastric aspirate
for AFB)
Detection of poison.
GI bleeding.
 Therapeutic:
Feeding
Gastric lavage
Drug administration
Aspiration in intestinal obstruction
Gastric compression during oxygen therapy
 SUCTION TUBE

Department Of Paediatrics
Nepalese Army Institute of Health
Sciences
 Atraumatic, soft and rounded open tip
with two lateral eyes.

 Its used for removal of secretions from

Mouth
Trachea
Bronchial hub

 Length: 52 cm
 OXYGEN MASK

PAEDIATRIC DEPARTMENT
Nepalese Army Institute Of Health Sciences
 DESCRIPTION

 Moulded face mask with adjustable elastic

strap and integrated nose clip for proper
position of mask on mouth and nasal area.

 Exhalation ports in the side and between

mask and face

 Provided with a long tube to ensure

continuous flow of oxygen
 USE
 Oxygen Therapy
 Nebulisation

Gas Flow Rate % of Oxygen

6 – 8 L/min 40 - 60
 PROPERTIES
 Mask should be transparent. If colored,
cyanosis, regurgitation and condensation
cannot be detected.

 Under mask volume (dead space) should

be low (100 – 200 ml). This will decrease
the chances of rebreathing of exhaled
gases
 DISADVANTAGES
 If oxygen flow rate is less than 6 L/min, rebreathing
of exhaled CO2 can occur.

 Interference with feeding.

 Tightly fitted mask are poorly accepted by infants

and toddlers.

 Loosely fitted mask provides only 40% of oxygen.

 If mask in place, aspiration of vomitus can occur.

 TWIN BORE NASAL
OXYGEN SET
(NASAL CANNULA)

PAEDIATRIC DEPARTMENT
Nepalese Army Institute of Health Sciences
 DESCRIPTION:
Consists of two
short plastic prongs
arising from a
hollow face piece.

 TECHNIQUE OF
USING:
Prongs are inserted
into the anterior
nares and oxygen is
delivered into the
nasopharynx.
 INDICATION:
hypoxemia

 USES:
Simple low flow oxygen delivery for infants
and children.

Gas Flow Rate % of Oxygen

1 – 4 L/min 24 - 36
 ADVANTAGES:
Leaves mouth free for nutritional and
communication purposes.
CPAP

 DISADVANTAGES:
Does not provide humidified oxygen.
Prongs are difficult to maintain in position.
Excessive oxygen flow leads to nasal
irritation and gastric distension.
Nasal mucosa injury.
Cannot be used in patients with
 Nasal obstruction,

 DNS

 Nasal polyp

 Hypertrophied turbinates and

 Choanal atresia.

Neonates, who are purely nasal breathers,

any interference in oxygen flow will lead to
hypoxemia and hypercapnia.

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 OXYGEN HOOD

DEPARTMENT OF PAEDIATRICS
Nepalese Army Institute Of Health Sciences
Oxygen Tent
 It is a clear transparent shell that
encompasses the infant’s head.
 Stainless steel oxygen inlet nozzle.
 Port hole for easy access.
 Neck height adjustment facility
 With a gas flow rate of 10-12 L/min, it
provides 80-90% of oxygen.
 USES:
 Hypoxemia

 Oxygen administration

 ADVANTAGES:
 Humidification decreases the size of

oxygen molecule, therefore, reaches

alveoli easily.
 Humidification prevents drying of

secretions as dried secretions may block

the airway.
 Well tolerated by infants.

 Allows easy access to rest of the body.

 DISADVANTAGES:
 Prolonged exposure to humidified oxygen

increases the risk of Cutaneous fungal

infections.
 Low temperature within enclosure system

may result in cold stress injury.

 Inadequate oxygen flow rate, may result

in hypoxia or hypercapnia.
 Any opening in the enclosure may result

in decrease in the concentration of

oxygen.

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