Note when feeding babies through a gastric cathex

The article was consulted professionally by Specialist Doctor II Cao Thi Thanh – Pediatrician – Pediatrics – Newborn – Share99 Hai Phong International Health Hub.

Cathetic nourishment is a necessity for young children who cannot eat orally but need nutritional support thanks to a cathetic to bring food down to the stomach …

1. Cases where it is necessary to feed the child through sonde

Feeding babies through a gastric cathex is used for children who are unable to eat or drink in the usual way. In addition to the skin, feeding a child through sonde is also in dinh dinh for a number of other cases including:

  • Child in a coma
  • Children with trauma or congenital malformations in the pharynx
  • Normal baby's digestive system but unable to feed, insufficient feeding or prone to choking
  • Children who refused to eat, ate too little, could not gain weight
  • Premature birth < 32 tuần hoặc sinh non > 32 weeks + weak swallowing
  • Severe respiratory failure: breathing through NKQ, breathing > 75 l/p, severe chest concaveness, severe apnea
  • Inability to feed or swallow or prone to choking when swallowing:
  • Brain pathology: due to asphyxiation, cerebral hemorrhage, jaundice, meningitis
  • Neuropathical diseases, insular failure
  • Pharyngeal abnormalities: Cleft lip, clex palate, rear nose, large tongue.
  • Loss of breastfeeding or swallowing reflexes
  • Electrolynthical balance disorders and disposal

Contraintent feeding the child through a gastric cathetro in case of:

  • Being shocked, respiratory failure unstable with breathing help or CPAP
  • Seizures that can't be controlled with medication
  • In the first 6 hours after blood change
  • Early infant necrotizing enteritis
  • Gastrointestinal birth defects

2. Procedure for placing gastric sonde for children

feeding babies through a gastric cathex

Placing gastric sonde tubes by way of the nose or sugar from the mouth for babies is the most optimal method today

Currently, the method of feeding babies through the gastric sonde tube by way of the nose or sugar from the mouth is the most optimal, at which time the pipe will pass through the entire length of the esta that comes from the nostrils or oral cavity without affecting the respiratory tract and the fulness of the fulness.

  • For the placement of the tube, there is no technique to verify the correct and safe placement of the tube using abdominal and chest x-ray.
  • The nurse will prepare the tool and place it on a clean tray, wash your hands and wear gloves before proceeding with the process of inserting the sonde tube into the child's stomach.
  • Babies can fix them by wrapping them in a blanket and placing them lying on their right side. If the pipe goes from the nostrils then check and clean the nostrils.
  • Check if the sonde tube is deformed or cracked, if there is a problem, replace it with another tube, measure the length of the tube to suit the child's body.
  • Gently fold the head and gently push the sonde into the nostrils or mouth that passes through the nasopharynx and stops until the required length is reached. If the child shows abnormal behavior, immediately remove the tube waiting for the child to stabilize and then proceed to do it again. Note, store the sonde tube with medical bandages to avoid infection during the implementation.

3. The risks of feeding babies through sonde

The technique of feeding babies through a gastric cathex is rarely dangerous. However, it can cause discomfort and inconvenience to young children. Some undesirable effects may be encountered:

  • Mild nose bleeding
  • Nasal obstruction
  • Rhinitis

Sometimes cathethees are mis-positioned or positioned during food infusion, warning signs include:

  • Bradycardia
  • Slow breathing, shortness of breath
  • vomit

4. Note when feeding a child through a gastric cathex


Attention should be paid when feeding a child through a gastric cathex
  • Young nostrils have problems such as runny nose, nosebleeds,… can let the tube go from the mouth.
  • The inserted tube should make sure that the tube is in place of the stomach before giving food, milk or medicine to the child.
  • When pumping food in, pump slowly, gently, avoid pumping too much, causing the child to vomit.
  • Regularly monitor the health situation of the child, if there are abnormal manifestations, immediately notify the treating doctor.
  • Check the sonde tube, replace the other sonde pipe for long-term or dirty pipes. If the tube goes nostrils, when changing the tube must change the nostrils differently.

The pediatrics department at Share99 International Health Hub is the address to receive and examine the diseases that babies as well as young children are susceptible to. With modern equipment system, countless space and a team of skilled and experienced doctors … will help the process of examination and treatment of the child comfortably and shorten.

Dr. Thanh has worked for 25 years in the treatment of newborn pediatric diseases, including 23 years working in the newborn department of Hai Phong Obstetrics and Gynecology Health Hub (experienced in newborn resuscitation in the operating room / delivery room + nurturing premature babies late (34 weeks – 37 weeks), 02 years working at the Clinic requesting Hai Phong Children's Health Hub. Dr. Thanh is currently working at The Pediatrics – Newborn Department of Share99 Hai Phong International Health Hub

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About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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