Advanced Applications of Home-Based Primary Care Workshop-Gastrostomy Tube Replacement

Video Transcription

Video Summary

Dr. Paul Chang demonstrates the process of changing a gastrostomy tube. He emphasizes the importance of following infection control guidelines and using personal protective equipment, especially during the COVID-19 pandemic. Caregivers and family members can be trained to perform the procedure, reducing unnecessary emergency room visits. The procedure involves gathering the necessary equipment, examining the new tube for defects, lubricating the replacement tube, and placing it in the correct position. Different techniques are used to remove bumper or balloon-type tubes. The new tube is inserted, the balloon is inflated, and the external bumper is adjusted. The tube position is verified, and the dressing is replaced. Additional considerations are provided, such as contacting a specialist for recent dislodged tubes or ordering replacement tubes.

Keywords

gastrostomy tube

infection control guidelines

personal protective equipment

COVID-19 pandemic

procedure