GASTROSTOMY TUBE INSERTION

​

A gastrostomy tube (G-tube) insertion is a surgical procedure performed to provide a means of feeding and administering medications to patients who cannot take food or drink through the mouth. This procedure involves creating a direct access point into the stomach, bypassing the mouth and esophagus.

​

PEG stands for percutaneous endoscopic gastrostomy.

                                                                                                 

                                               Anesthetic Implications for Gastrostomy Tube Insertion

​

Anesthesia type: General, TIVA, MAC, local anesthesia

​

Airway: ETT

​​

Preoperative:

​​

• The procedure is aided by endoscopy

• Antibiotic is administered

• Prevent corneal drying or abrasions by taping the eyes

• Patients may be hypovolemic due to poor oral intake

• Patients may be malnourished and have electrolyte imbalances

• A bite block is placed into the patient’s mouth

​

Intraoperative:

​

• Risk of aspiration

• Gastroscope is passed into the stomach

• The stomach is insufflated

• Duration: 15-30 minutes

• Position: Supine with arms to sides

• EBL: Minimal

​

Postoperative:

​

• PONV prophylaxis

• Pain management

​

Complications:

​

• Infection

• Bleeding

• Blockage of the tube

• Dislodgement of the tube

• Damage to surrounding organs

• Aspiration pneumonia

• VTE

​

Sources:

​

Macksey, L. F. (2011). Surgical procedures and anesthetic implications: A handbook for nurse anesthesia practice. 

​

Jaffe, R. A. (2020). Anesthesiologist's Manual of Surgical Procedures (6th ed.). 

​

Singh-Radcliff, N. (2013). 5-Minute Anesthesia Consult.

​

​

​

​

 

​​

​​