How to put a nasogastric tube in a cat? - briefly
To place a nasogastric tube in a cat, first gently insert the tube through one of the cat's nostrils until it reaches the stomach. Then, use an X-ray or ultrasound to confirm proper placement and secure the tube with tape or a suture.
How to put a nasogastric tube in a cat? - in detail
Inserting a nasogastric tube (NGT) in a cat requires careful preparation and execution to ensure the procedure is safe and effective. Here's a step-by-step guide:
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Preparation: Gather all necessary equipment, including a sterile NGT, water-soluble lubricant, syringe, stethoscope, and tape or suture material. Ensure the cat is fasted for at least 4 hours before the procedure to minimize the risk of aspiration.
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Sedation: Sedate the cat using appropriate medications prescribed by a veterinarian. This will help keep the cat calm and prevent it from swallowing or biting the tube during insertion.
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Positioning: Place the cat in lateral recumbency (on its side) with the head slightly elevated to facilitate passage of the tube into the stomach. You can use a pillow or rolled towel to support the head and neck.
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Lubrication: Apply a small amount of water-soluble lubricant to the tip of the NGT. This will help reduce friction and make insertion easier on the cat's nasal passages.
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Insertion: Gently insert the tip of the NGT into one of the cat's nostrils, usually the left nostril as it provides a straighter path to the stomach. Advance the tube slowly and carefully, following the natural curve of the nasal passages towards the pharynx.
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Verification: To confirm the tube has been correctly placed in the stomach, use a stethoscope to listen for sounds of fluid movement (borborygmi) over the cat's abdomen while gently flushing air through the NGT using a syringe. Alternatively, you can inject a small amount of sterile saline into the tube and aspirate it back out to check for stomach contents.
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Securing: Once the correct placement is verified, secure the tube in place by taping it to the cat's muzzle or using suture material to anchor it to the skin. Ensure the tape or suture does not obstruct the cat's mouth or interfere with its ability to breathe.
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Monitoring: Keep a close eye on the cat during and after the procedure for any signs of discomfort, respiratory distress, or tube displacement. Administer pain medication as needed and monitor the cat's hydration status.
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Removal: When it's time to remove the NGT, gently pull it out while supporting the cat's head to prevent any tugging on the nasal passages. Clean the area around the nostril with a damp cloth if needed.
Always consult with a veterinarian before attempting to insert an NGT in a cat, as they can provide specific guidance tailored to your pet's individual needs and health status.