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Orogastric Tube Feeding of the Neonate | VETgirl Veterinary CE Videos

In this VETgirl online veterinary continuing education video, we demonstrate how to tube feed a neonatal puppy or kitten in order to provide enteral nutrition. Neonates present a unique examination and treatment dilemma to the veterinary team member due to their small size. They can quickly become hypovolemic, hypothermic, and hypoglycemic and aggressive critical care and nursing support is indicated.

Nursing or bottle feeding a neonate is ideal; however, if the neonate is unable to or unwilling to nurse or bottle feed, orogastric tube feeding is the next most physiologic way to feed a neonate, provided they are normothermic and no other contraindications exist. As seen here in this video, we recommend the following supplies: an appropriately sized feeding tube (e.g., a 5-French red rubber catheter), sterile lubricating jelly, a syringe of sterile 0.9% NaCl, and a species-appropriate milk replacer (e.g., Esbilac, KMR, etc.). First, the feeding tube is measured from the rostral aspect of the mouth to the last rib. Next, lubricate the tip of the tube. Gently but swiftly pass the tube into the oral cavity down the esophagus; you may see the neonate swallow while they continue to vocalize. Once the tube is advanced to the pre-measured location, a small amount of water or sterile saline is placed through the tube. The patient will often continue to vocalize – which is a good thing! If the tube is accidentally advanced into the trachea rather than the esophagus, the patient will cough when sterile saline or water are administered. If that is seen, immediately stop the injection of saline or water and remove the red rubber tube. If the tube is placed correctly, the neonate should continue to vocalize while being fed with the commercial milk replacer. This procedure can also be taught to competent pet owners to assist in nutritional care of neonates.

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