How often should a newborn's nasogastric tube be replaced?
May 10, 2023
Source: Cainiu Health
Dr. Ma Yan
Introduction
For newborns using a standard gastric tube, it is generally recommended to replace the tube once a week, as standard tubes are relatively fragile and rigid, and prolonged use may lead to complications. Silicone gastric tubes, on the other hand, are more durable, flexible, and less prone to bacterial growth, so they can typically be used for up to a month before replacement. If any rupture, breakage, or blockage occurs in the gastric tube, it should be replaced immediately.
The timing for replacing a nasogastric tube in newborns generally depends on the material of the tube and any complications that may arise, and could be weekly, monthly, or immediately as needed. The details are as follows:
1. Weekly
If a standard nasogastric tube is used in newborns, it typically needs to be replaced once a week. Standard tubes are usually made of polyurethane, which is relatively fragile and prone to damage. They are also stiffer, and prolonged use may lead to complications such as lung infections.
2. Monthly
Silicone nasogastric tubes are more durable, softer, and less likely to promote bacterial growth. They generally do not cause discomfort or complications, so their usage period can be extended. Typically, they can be used for up to one month before replacement.
3. Immediately
If the nasogastric tube becomes cracked, broken, or blocked during use, it should be replaced immediately to prevent serious adverse effects.
Proper care is essential when a newborn is using a nasogastric tube. If any abnormalities occur, prompt management under the guidance of a pediatrician is recommended to avoid negative outcomes.
