• Place a split dressing over the puncture
13
site (Fig. 1) and pull on the tube to draw the
stomach against the abdominal wall (Fig. 2)
until the indicator reaches the blue area in
the display (Fig. 3).
• While maintaining tension, place the
14
external retaining plate over the stoma,
cover it with a dressing and secure the
site with an adhesive bandage.
• Document the direct percutaneous type,
French size, and LOT number in the
patient's fi le.
• Verify the correct position by endoscopy
or radiology.
• Feeding may begin 6 – 8 hours after tube
placement if there are no complications.
!
• Due to the sharp trocar tip, always use with care when handling to avoid
injuries to the patient or other people involved in the placement process.
• Furthermore, in children and patients with reduced abdominal fat,
special care should be considered to ensure that the trocar is not
introduced with excessive external pressure to avoid injury to the
posterior gastric wall.
• Due to air insuffl ation and simultaneous puncture of the stomach, as
with any PEG placement, there is a risk of air entering the peritoneum.
This occurs in approx. 50 % of PEG placements and, in most cases,
does not have any clinical relevance.
3
2
1
33