Degassing tube as often as possible. Gas tube for newborns

13.09.2019

At birth, the baby's organs and systems are anatomically immature. In the first weeks of life, the intestines of a newborn begin to be populated by the microflora involved in digestion, and the motor function of the intestine is launched.

During this period, the baby may especially often experience stool retention and flatulence. The accumulation of air in the intestinal lumen causes discomfort in the child, he worries, cries - this is intestinal colic.

For the most detailed information on how to help a small child with such a problem, read the article by a children's doctor.

Very important and relevant information about what is useful and how to use it correctly, in the article of a neonatologist.

The occurrence of colic can be prevented, and for this there are several methods:

The installation of a gas outlet tube is an extreme measure and is necessary only if all these measures have already been taken, but a positive effect has not been achieved.

Symptoms that require the use of a gas outlet tube:

stool retention for several days;
restless behavior, agitation of the child, prolonged crying of the baby;
loss of appetite, complete refusal of the child to eat;
the baby's belly is sharply swollen, the anterior abdominal wall is tense.

Contraindications to the use of a gas tube for newborns

Not every child can put a gas outlet tube. Therefore, it is always better to consult a pediatrician before using it, who will give the necessary recommendations or show how to insert a gas outlet tube.

The installation of a gas outlet tube is contraindicated in the following conditions:

How to choose a gas outlet pipe?

There are several types of vent devices, from standard vent tubes to modified catheters. You can buy them in every pharmacy. Parents can choose any gas outlet tube for a newborn, at their discretion, choosing a quality and price that is convenient for themselves.

Reusable gas tube for children. It is a tube made of non-toxic elastic rubber with holes on both sides. The end inserted into the rectum is rounded. There are several sizes of tubes, depending on the age of the infants. Immediately after birth, products of the 15th - 16th number are used, in the future it is necessary to purchase larger tubes (17 - 18th numbers). Regardless of the product number, its diameter should be 2 - 3 mm, and the length should not exceed 22 cm. The average cost of such a tube is 60 rubles. The product is convenient in that it can be used several times, pleasantly pleased with the cost. The disadvantage is that the tube must be boiled before the procedure and it does not have a marking of the insertion depth.
Rectal gas outlet tube for newborns by Apexmed. This is a sterile disposable probe. The end of the tube inserted into the rectum is rounded, which reduces the risk of injury, the free end is wide with a plastic tip. It is made of materials of the highest safety class, which soften when heated inside the intestine, which also reduces the risk of damage to the mucosa. The probe has a size marking in centimeters, which allows you to control the depth of insertion. There are also several sizes of probes, depending on the age of the baby. The price of such a product is from 200 to 400 rubles.
Gas tube for newborns Windi. Rubber sterile gas outlet tube designed for single use. The tube is small in size, has the shape of a catheter, which eliminates the risk of traumatic injuries. Made of thermoplastic elastomer, which, when in contact with the human body, quickly heats up and becomes softer. The Windy catheter is very convenient and easy to use, it has a limiter that allows you to insert the tube to the required depth. The release of gases will be accompanied by a characteristic sound. Its disadvantage is that it is a disposable catheter and has a high cost relative to similar medical products. The cost is about 1000 rubles for one package (10 pcs).

How to put a gas tube in a newborn?

At the sight of this device, young parents often panic, the question arises of how to use the gas outlet tube. It’s great if for the first time the use of the tube is shown to you by a visiting nurse or a local doctor. But even if you are left alone with the vent tube, do not worry.

Along with the product, there is a detailed instruction for use, which will tell you how to properly use the gas outlet tube.

The most important thing is to calm down and carry out the procedure in calm conditions. If the mother feels insecure and worried, the child will also worry.

check the quality of the product. The gas outlet tube for newborns should be made of soft elastic materials, without manufacturing defects;
the size of the product must correspond to the age of the baby;
before use, the reusable catheter should be boiled, and when using a disposable tube, make sure that its sterile packaging is intact.

Rules for using a gas outlet tube for a child:

Wash your hands before starting the procedure.
The baby should be laid on a flat, hard surface, having previously laid a clean diaper.
Baby position: on the back, legs bent at the knees and brought to the tummy.
With one hand we hold the child, and with the other we take the catheter closer to the rounded end.
The end of the catheter inserted into the intestine is lubricated with oil or petroleum jelly.
To reduce injury, the skin around the baby's anus must also be lubricated with oil or baby cream.
In a circular motion, the rounded end of the catheter is inserted into the anus. The depth of insertion for infants up to six months is up to 2 cm, for older children - up to 4 cm. Before starting the procedure, you can mark the required depth on the tube.
If the child is worried and you feel an obstruction when inserting the tube, you should not make an effort. It is necessary to calm, distract the baby and repeat the introduction of the tube only after he relaxes.
In order to understand whether gases are escaping or not, it is necessary to release the free end of the tube into the water and watch for the appearance of air bubbles.
After the cessation of the discharge of gases, it is necessary to remove the inserted end of the tube with gentle rotational movements. Do not abruptly remove the tube, so as not to cause discomfort to the child.

In order to completely rid the intestines of gas in newborns, the catheter must be held for 10-15 minutes.

To speed up the process, you can massage the baby's tummy by stroking the anterior abdominal wall around the navel in a clockwise direction.

Gently twisting the catheter in the rectum will stimulate the bowels, which will help the child to have a bowel movement after the gas tube is removed. After the procedure, it is necessary to wash the baby.

After using a disposable straw, it must be discarded. Reusable tubes should be washed well in running water using baby or laundry soap. It will need to be boiled before reuse.

How often can the gas tube be used?

Re-insertion of the gas outlet tube can be carried out at intervals of at least 4 hours. The mucous membrane of the baby's rectum is very delicate, and with prolonged standing of the catheter, bedsores can form. During the day, you should not put the gas outlet tube more than two times.

Do not resort to too frequent use of the gas outlet tube. If the child is constantly worried about bloating, flatulence, it is necessary to consult a doctor to determine the cause of digestive problems.

Main conclusions:

The installation of a gas outlet tube for a child is indicated for colic, bloating, and flatulence.
Before installing the gas outlet tube, it is necessary to read the instructions in detail and check the suitability of the product.
The installation of a gas outlet tube is a procedure that only temporarily alleviates the condition of the child. Do not abuse its use to constantly help the baby release accumulated gases. If there is a too frequent need for this, it is necessary to contact a specialist to find out and eliminate the cause of the digestive disorder.

Intestinal colic disturbs babies, deprives their parents of rest and sleep. Among the many ways to rid children of gases accumulated in the tummy, one of the most effective is the use of a gas tube.

Are rectal tubes safe and how to use them correctly?

When to use a neonatal gas tube

Very often, a gas outlet tube becomes a salvation for many mothers with bloating and constipation in a baby.

It must be remembered that flatulence in newborns is a natural process. The main reason is the immaturity of the digestive and enzymatic systems of the child. Increased gas formation usually disappears by the age of three months, sometimes it bothers up to 4-5 months.

If the baby screams, writhes, blushes, then most likely his tummy is swollen from gas.

Children's doctors disagree on when and how often to use a gas tube. Some say that use a rectal catheter only in emergency cases when other methods fail:

Massage the abdomen clockwise;

Warm diapers or a heating pad on the stomach;

Flexion-extension of the legs;

Laying out on the tummy.

Other doctors advise to ease the baby's pain with a straw as soon as possible. After all, strong crying entails not only restless days and sleepless nights, it can be the cause of an umbilical hernia in a baby.

Some pediatricians warn that with frequent use, there is a risk of addiction, and the child will not learn to get rid of gases and feces on his own. But numerous reviews of mothers indicate otherwise. Women who use tubes for bloating in a child talk about the rapid relief of the baby's condition. In this case, the frequency of use is determined by the need, possibly up to 3-4 times a day. Habits are not noted.

Rectal tubes should be used only when necessary, when the child is flooded with crying, his tummy is bloated with gas, and nothing helps. It is not necessary to use this device for the prevention of flatulence in newborns, because the procedure for inserting the tube is unsafe and requires maximum caution.

The vent tube does not cure flatulence, but only removes gases, which alleviates the baby's condition.

Varieties of gas pipes

Currently, in pharmacies, you can most often find rectal tubes of two types:

domestic production;

Made in Sweden.

Rarely come across rectal probes from the Netherlands.

How do they differ, and which tube to choose?

Gas outlet pipe from a Russian manufacturer

Made from orange rubber. Its length is 35cm, the diameter depends on the number, 5-6mm. For babies under 3 months old, it is recommended to purchase the 15th and 16th numbers, for older children, the 17th and 18th numbers are suitable.

Gases exit through the wide edge, the narrow one is inserted into the rectum. Near the thin edge there is a side hole, which also serves to remove gases.

This tube is reusable. Before the first use, it must be boiled for at least 20 minutes. Subsequently, it is sufficient to wash with soap or disinfect with hydrogen peroxide if the device is used for only one infant. In medical institutions, reusable straws are boiled and carefully processed after each use.

It is recommended to store rectal tubes at a temperature not exceeding 25 degrees, away from heating devices. Do not expose to direct sunlight, germicidal lamps, substances that can destroy rubber (lubricating oils, alkalis, acids, gasoline).

Swedish rectal catheters

The catheters are made of thermoplastic material, which heats up and becomes softer when in contact with the skin.

The total length of the device is 10 cm, the insertion part is 2.5 cm. The shape of this tube does not allow the catheter to be inserted deeply; there is a limiter. The rounded tip minimizes the risk of damage to the baby's intestines. The embossed surface prevents the catheter from accidentally slipping out during use. The one-piece design of the tube prevents small parts from entering the intestines.

Rectal catheters from Sweden are disposable, which ensures their sterility and ease of use. No need to spend time on processing and sterilization. Sold in packs of 10 pieces. In some pharmacies you can buy by the piece.

This tube can be used even by an unprepared person without harming the health of the baby.

Many parents are confused only by the price of the device.

Rectal probe made in the Netherlands

It is a transparent tube 20 cm long, made of thermoplastic polyvinyl chloride. Features a rounded end for secure installation and 2 side holes. Divisions up to 5 cm mark are applied to the insertion part every 1 cm, which helps to accurately determine the depth of insertion of the probe.

These gas outlet tubes are disposable, sold in a set of 5 pieces. For newborns, probes in sizes 06, 08, 10 (diameter from 2 to 3.3 mm) are suitable.

Disadvantages of a gas outlet tube

In case of careless use of rectal vapor tubes, there is a risk of damage to the intestines of the newborn. This applies to a greater extent to Russian-made rubber pipes. But even safe Swedish catheters must be used very carefully, according to the instructions. After all, any mechanical impact can injure the intestinal mucosa of the baby.

How to use the neonatal gas tube

Before using the tube, you need to prepare vaseline (or sterilized sunflower) oil, cotton pads or balls, and wet wipes. Then proceed directly to the introduction procedure.

1. Be sure to grease the end of the tube well with oil.

2. Put the baby on the back, prudently spreading the oilcloth and diaper.

3. Holding the legs with one hand, slowly insert the gas outlet tube into the child's rectum with the other. In this case, translational or rotational movements can be performed. You can not put pressure on the tube, if an obstacle is felt, it is safer to stop. While the baby is not yet 3 months old, you need to enter to a depth of no more than 3 cm, for older children - up to 5 cm. In some cases, 1-1.5 cm is enough.

4. If the child cries even more, resists, then the process should be postponed in order to avoid causing injury to the intestinal mucosa.

6. When passing gases, a characteristic sound will be heard. Bowel movements may also occur. The child calms down, falls asleep soundly.

7. If necessary, wash the baby or use napkins.

8. If after 10 minutes there is no relief, then the tube should be removed. Most likely, the flatulence is very strong, or the cause of concern is not in the gas. In these cases, it is necessary to resort to the help of a pediatrician who will prescribe treatment.

Cleanliness is very important when using a gas tube for a newborn. Children's intestines are sensitive to various microorganisms that cause microflora disturbance or inflammatory processes.

If the gas tube helps to calm intestinal colic in a newborn, then you should not be afraid to use it. With deliberate and careful use, this device will not harm, the baby will sleep soundly, and parents will find peace.

The functions of digestion and the gastrointestinal tract have not yet been formed. Due to the peculiarities of the anatomical structure, the discharge of accumulated gases is difficult. And there are plenty of them!

If the baby does not properly latch onto the breast or eats from a bottle, air bubbles accumulate in the intestines, swell and cause considerable discomfort to the baby.

It is necessary to help the baby to get rid of the accumulated gas.
For these purposes, a special gas outlet tube for newborns has been created. Soft straw made of non-toxic material. At body temperature, the material softens. Length 18-22 cm. Diameter 2.5-3 mm. The end that is inserted into the anus is rounded. There are tube numbers. You will need 16 or 17 number.

How to use the gas outlet tube - instructions:

First, boil it for 10 minutes.
After that, let it cool, grease the rounded hole with petroleum jelly, boiled vegetable oil or baby cream.
The anus of the child is also lubricated with oil, using a cotton ball. And insert a tube into it. At the same time, the baby should lie on its side, and its legs are tightly bent to the tummy. If the child is very small, then he lies on his back.

How to insert a tube - step by step instructions:

Carefully, with rotational movements, insert the gas outlet tube into the anus by 1.5 cm and leave it for 5 minutes.
Slightly twist the inserted tube in the baby's ass (gently, without sudden movements). The tube must be held. If after such movements the children's feces did not go, you can insert the tube a little further, but not whiter than 3-5 cm.
After the passage of gases or feces has begun, carefully pull out the tube and try to finish this process yourself. To do this, you can press the bent legs of the baby to the tummy or stroke the tummy with your hand in a clockwise direction.
At the end of the procedure, wash the child, wash the straw with soap.

On average, it takes 10 minutes to pass feces. If you are not sure that you will understand whether the gases have passed or not, dip one end into a bowl of water. If bubbles appear, then the gases have moved away.

Reuse of the gas outlet tube for newborns is allowed no earlier than after 3-4 hours.

Please note that when using the tube, the child should not experience pain. If the child resists and screams, remove the straw and try other, more gentle ways. For example: massage, tightening the legs, mirolax microclysters.

For the future, in order to use this method as little as possible, adjust the nutrition of the baby or the nutrition of the nursing mother. Add pure water, children's teas and compotes to the diet.

Vacuum tube for a newborn - video instruction:

Video from Komarovsky:

Normally, the human intestine contains from 0.2 to 0.9 liters of various gases formed when the intestinal microflora comes into contact with food masses. During the day, gases are removed during defecation or outside of this process.

Some pathological conditions lead to increased, excessive gas production, called flatulence.

In this case, not only the volume, but also the qualitative composition of the gas mixture can change. Gases with an unpleasant odor begin to prevail, often having toxic properties on the body: hydrogen sulfide, mercaptan, ammonia, etc. Flatulence is manifested by bloating, belching, heartburn, a feeling of fullness in the abdomen, colicky pains that subside after the passage of gases. In the stomach, a rumbling, seething of moving gases is heard. With severe flatulence, the work of the heart is disturbed, blood pressure rises in those suffering from hypertension are provoked, shortness of breath intensifies or appears in predisposed persons due to a decrease in diaphragm excursion.

Excess gas formation can accompany various diseases of the gastrointestinal tract, occurring with inflammation, decreased acidity of gastric juice, enzymatic deficiency, intestinal dysbiosis, infections and poisoning. Flatulence can be caused by poor nutrition, dietary errors, eating legumes (peas, beans, etc.), carbonated drinks, cabbage, apples, products that cause fermentation processes (kvass, black bread, beer). Frequent stress can also lead to disruption of the intestines. In children of the first years of life, intestinal colic, including those associated with overstretching of the intestinal wall with gases, are noted quite often. In this case, the child becomes restless, screams for a long time, vomiting or regurgitation is noted.

How to use the gas pipe?

Removal of gases from the intestines does not affect the cause of flatulence, but significantly improves the patient's well-being. First aid for flatulence is to evacuate excess gases by installing a gas outlet tube. This manipulation is quite simple and can be used at home. It is especially important to know how to use the gas outlet tube for parents with small children, as well as when caring for bedridden patients with intestinal atony.

Gas removal is carried out by a rubber tube 30-35 cm long and up to 6 mm in diameter.

Manipulation is carried out in rubber gloves. The gas outlet tube must be sterilized before reuse, before insertion, the tip is lubricated with vaseline oil (in the absence of vegetable or baby cream). The patient is placed on an oilcloth on the left side. If this is not possible, then spread the legs and bend them at the knee and hip joints. The buttocks are spread with the fingers of the left hand (for right-handers) and with careful rotational movements the tube is advanced through the anus in the direction of the sacrum (parallel to the coccyx) to a depth of about 20 cm. The free end of the gas outlet tube is lowered into a bedpan or pelvis. Adult patients leave the tube for 1-2 hours, during the day the procedure can be repeated.

For children under 6-9 months old with flatulence and colic, a gas outlet tube is installed by placing the child on his back with legs raised up. The depth of insertion is up to 4-6 cm. After the insertion of the tube, the free end is placed in a jar of boiled water. If after some time bubbles of gases appear - the tube is installed correctly, if not - change its position in the lumen of the rectum. With the gas outlet tube properly installed, the tip of it is removed from the water and put into a clean diaper.

During gas removal, you can massage the abdomen with the palm of your hand clockwise to stimulate the intestines and accelerate the passage of gases. You can try putting a folded warm diaper or heating pad on your stomach. Usually 5-10 minutes is enough to remove excess gases and improve the child's condition. After removing the tube, blot the anal area with a sterile cloth and lubricate with petroleum jelly. Sterilize the gas outlet tube. Manipulation can be repeated throughout the day.

It is also possible to purchase gas outlet tubes with marked insertion depth marks according to age. Especially for children of the first year of life, a catheter for gas removal with a diameter of 6 mm with an insertion depth limiter (2.5 cm) is produced.

In addition to gas removal, smectite or activated charcoal can be given inside, adults and children over 12 years old can be given meteospasmil, which has an antispasmodic and carminative effect, infants and children under 12 can be given espumizan in the form of drops or emulsion. A good carminative effect has "dill water", sold in pharmacies and prepared from the essential oil of fennel 0.05 diluted in one liter of water. At home, a similar remedy is prepared from garden dill, the carminative properties of which are much weaker. Dill water rarely causes allergic reactions and is prescribed for both adults and children. Babies are usually given 1 teaspoon before meals 3-6 times a day.

The appearance of a newborn in the house is always accompanied by joyful chores, sleepless nights and loud crying. The child expresses all his emotions with the help of a cry, and parents quickly have to learn to understand the variety of "verbal language" of a small person. So the cry of a newborn may indicate that he wants to eat, sleep, or just see a familiar face and hear his native voice. And there is crying that cannot be confused with any other - crying from pain and discomfort, and in this case it will help to save the situation gas tube.

What is a gas pipe for?

Quite often, babies in the first 3-6 months of life have digestive problems, appear, excessive gas formation and. Colic occurs due to imperfections in the baby's digestive system and can be caused by the mother or the bottle. At the same time, gases accumulate in the tummy, which cause discomfort to the baby.

colic symptoms obvious to adults. So, a newborn presses his legs to his tummy, blushes, refuses to eat, does not want to be attached to his mother's chest, while his tummy resembles a drum. These symptoms are accompanied by loud crying that can last up to three hours. Of course, in such a situation, every parent wants to help their baby cope with pain and discomfort.

To alleviate the condition of the child, a soft gas outlet tube made of non-toxic material is used. Its length is 18-22 centimeters, and its diameter ranges from 2.5-3 millimeters. Newborns will need vent pipe 16 numbers, and for infants - 17 numbers.

How to use the neonatal gas tube

First you need to wash your hands well, boil the gas outlet pipe and let it cool. Then you should prepare place for the procedure. So, it is worthwhile to sit comfortably on a table previously covered with oilcloth and a clean, dry diaper. Wipes and clean sheets should be within reach of an adult's hand.

During the procedure, the newborn is laid out on the back, and older babies - on the left side, while bending the legs to the stomach. Then smeared with baby cream or vaseline oil, the rounded end of the tube and gently insert it into the baby's rectum.

Newborns are injected with a gas outlet tube to a depth no more than 2 centimeters, children up to a year - to a depth of no more than 5-6 centimeters. The tube should be twisted a little and left for a while, constantly holding it with your hand. As a rule, gases depart within 10 minutes.

If resistance occurs during the introduction of the tube, the procedure is immediately stopped. After the time has elapsed, the gas outlet tube is carefully removed from the anus and boiled.

After the discharge of accumulated gases and feces, the child is washed away under a stream of warm water. If necessary, the procedure is repeated after 3 hours. You can make sure that the gas tube has rid the baby of gases accumulated in the stomach by lowering one end of it into a container of water. If bubbles appear in the liquid, then the procedure was performed correctly.

Of course, it is best for parents to be taught how to use a gas tube by a doctor or nurse, especially when it comes to a newborn baby. If performed incorrectly, the procedure can lead to serious intestinal injury.

Alternatives to the gas duct

It is not always possible to find a gas outlet tube in a pharmacy, so parents are faced with the question of finding an alternative. And such an alternative does exist - it is circumcised enema. For a newborn, you need to purchase the smallest enema (No. 1) and cut off the bottom of it - the resulting device can rid the child of accumulated gases and feces as effectively as a gas outlet tube.

However, before applying such radical methods of dealing with bloating in a newborn child, pediatricians strongly advise parents to try other methods. So, it is recommended to make stroking movements on the baby’s tummy with the palm of your hand, apply a heated towel to the navel area, press both bent legs of the crumbs to the tummy and make “bike” movements with them.

In addition, the procedure is prohibited for diseases of the rectum and if internal bleeding is suspected. The need for the systematic use of a gas outlet tube or a circumcised enema indicates that the child has certain problems that require complex treatment.

Natalia Umreyko especially for www.site.
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