Yet ANOTHER question for you... - page 2

When do you use orogastric tubes on babies and when do you use nasogastric? What are the differences? I know neonates are obligate nose breathers and so orogastric is preferred at first. When do you... Read More

  1. by   nicudaynurse
    In my unit >1800 grams may have an 8fr. and <1800 grams will have a 5fr. Like CatRN already said the feedings go a little too fast in the 8fr., but of course that can depend on how high you hold the feed.

    We use silastic feeding tubes that can stay in for 30 days. The babies that don't have a silastic have their feeding tube changed every other day.

    I find it so interesting how all the NICU's vary in their practice.

    Have any of you ever heard of high frequency CPAP? Well we have done it on our unit. We also do SIMV/CPAP (definitely an RT nightmare), but it seems to work on some of the babies.
  2. by   prmenrs
    We use the silastic 5fr indwelling tubes, feedings went in via pump over however long we wanted it to--sometimes over 2 hours if they were bad refluxers.

    It seems like for most places there is a right way, a wrong way, and the way we do it HERE!

    I have not heard of high frequency CPAP, but have been out of Level III for a while (retired). Nasal SIMV/CPAP has been around for a bit, I think they got a new device that's not so hard on their noses.

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