Skip to main content
menu sluit menu
Home Home
Login
Main navigation
  • Library
  • Calendar
  • e-Learning
  • News
    • Veterinary News In this section you find veterinary news
    • Recent Additions All content that was recently added to the IVIS library
  • Get involved
    • Donate Support IVIS, make a donation today
    • Media kit Promote your e-learning & events on IVIS
    • Add your e-learning & events to the IVIS calendar
    • Publish on IVIS Publish your work with us
  • About
    • Mission Our Mission Statement
    • What we do More info about IVIS and what we do
    • Who we are More info about the IVIS team
    • Authors See list of all IVIS authors and editors
  • Contact
User tools menu
User tools menu
Main navigation
  • Library
  • Calendar
  • e-Learning
  • News
    • Veterinary News In this section you find veterinary news
    • Recent Additions All content that was recently added to the IVIS library
  • Get involved
    • Donate Support IVIS, make a donation today
    • Media kit Promote your e-learning & events on IVIS
    • Add your e-learning & events to the IVIS calendar
    • Publish on IVIS Publish your work with us
  • About
    • Mission Our Mission Statement
    • What we do More info about IVIS and what we do
    • Who we are More info about the IVIS team
    • Authors See list of all IVIS authors and editors
  • Contact
Follow IVIS
  • Twitter
  • Facebook
Support IVIS

Breadcrumb

  1. Home
  2. Library
  3. Manual of Equine Neonatal Medicine
  4. Nasogastric Intubation
Manual of Equine Neonatal Medicine
Back to Table of Contents
Add to My Library
Close
Would you like to add this to your library?

Get access to all handy features included in the IVIS website

  • Get unlimited access to books, proceedings and journals.
  • Get access to a global catalogue of meetings, on-site and online courses, webinars and educational videos.
  • Bookmark your favorite articles in My Library for future reading.
  • Save future meetings and courses in My Calendar and My e-Learning.
  • Ask authors questions and read what others have to say.
Sign in Register
Comments
Print this article
Share:
  • Facebook
  • LinkedIn
  • Mail
  • Twitter

Nasogastric Intubation

Author(s):
Madigan J.E.
In: Manual of Equine Neonatal Medicine by Madigan J.E.
Updated:
MAY 27, 2016
Languages:
  • EN
Back to Table of Contents
Add to My Library
Close
Would you like to add this to your library?

Get access to all handy features included in the IVIS website

  • Get unlimited access to books, proceedings and journals.
  • Get access to a global catalogue of meetings, on-site and online courses, webinars and educational videos.
  • Bookmark your favorite articles in My Library for future reading.
  • Save future meetings and courses in My Calendar and My e-Learning.
  • Ask authors questions and read what others have to say.
Sign in Register
Print this article
SHARE:
  • Facebook
  • LinkedIn
  • Mail
  • Twitter
    Read

    I. Indications

    1. Administration of fluids and milk to foals with a depressed suck reflex.
    2. To check for fluid or gas distention in the stomach of painful, bloated or weak foals.

    II. Techniques

    1. Tube Selection
    1. Sterile Kaslow® size 18 French 48 inch tube (American Pharmaceal Co., American Hospital Supply).
    2. Harris® Enema Tube - 24 French, 60 inches (American Hospital Supply).
    3. Nutrifoal® - Foal enteral feeding tube, 12 French, 45 inches, (Ross Laboratories -Distributed by W.A. Butler, Co., 800-282-3148 or Columbus Service: 800282-1073).
    4. Mila® Nasogastric Feeding tubes - Non-irritating radiopaque polyurethane material with stylet. Available sizes (5Fr-18Fr, 55-240 cm (22 inches-100 inches). Tubes are length adjustable. www.milaint.com
    5. Cook® Clearview Nasogastric Feeding Tube 10Fr 150 cm (60 inches). www.cookgroup.com
    6. Silicon stomach feeding tube. 6 mm x 150 cm. Jorgensen Laboratories. www.jorvet.com
    1. Method of passing tube
    1. Warm the tube to room temperature in water.
    2. Measure the tube next to the foal to determine the length required to gain entrance to the stomach. (Distal 2/3's of chest; approximately the 12-14th intercostal space). Mark the tube with tape.
    3. Lubricate the end with K-Y jelly.
    4. Pass the tube in the ventral nasal meatus.
    5. Advance the tube when swallowing occurs. Rotate the tube or push air through the tube to aid swallowing if necessary.
    6. Verify the tube is in the esophagus by all these methods.
    1. Increased resistance.
    2. Visualization of distension on the left side of the neck.
    3. Palpation of the tube in the neck area when moving it back and forth.
    1. Pass the tube into the stomach.
    2. Check for reflux by putting water into the tube and aspirating back.
    3. Administer fluids or milk.
    1. Method for passing small and flexible tubes
    1. These tubes are small diameter and are very well tolerated by foals.
    2. Tube can be left in place and foal can still nurse the mare and be tube fed supplemental milk.
    3. We use these tubes in convalescing foals that need additional milk or fluids and can still try to nurse mare.
    4. Because the tube is small and flexible - Can chill the tube in freezer to stiffen it up for passage or use a guide wire. May need to check position radiographically.
    5. I prefer to measure length required to get into stomach, cut any excess length off distal end. Pass tube until proximal end is within the nostril. Suture it directly to nostril. Foal cannot rub tube and can still easily nurse.
    6. This tube comes with a feeding system containing a 3 liter bag and coupling that fits into the end of the stomach tube. Nutrifoal pouch with pre-attached flexiflo gravity feeding set - Ross Laboratories - Distributed by W.A. Butler -800-282-3148.

    III. Leaving the Tube in Place

    1. Use the smallest tube possible.
    2. Flush the tube with clean water and cap with syringe or plug.
    3. Remove tube from stomach to distal esophagus.
    4. Place tape on tube (dry spot) adjacent to false nostril leaving a flap. Secure tape to tube with superglue or suture (otherwise, when tape is wet, tube slips). Suture a 1" piece of folded tape to the false nostril. Tie the two tape ends in place with suture to secure the tube in place.
    1. Alternately, tape tube to halter.
    2. Secure tube as described.
    1. Larger tubes may be kept in place for 48 to 72 hours. Change to other nostril if irritation, nasal discharge, bleeding or signs of pain occur. Small tubes can be in place for 7-10 days.
    2. Fluids, milk or liquid medication should be given with the foal's head up to allow gravity flow into the stomach. If cardia spasm occurs, the tube should be placed in the stomach for each feeding and re-secured in the distal esophagus at the end of the feeding.
    Back to Table of Contents
    Add to My Library
    Close
    Would you like to add this to your library?

    Get access to all handy features included in the IVIS website

    • Get unlimited access to books, proceedings and journals.
    • Get access to a global catalogue of meetings, on-site and online courses, webinars and educational videos.
    • Bookmark your favorite articles in My Library for future reading.
    • Save future meetings and courses in My Calendar and My e-Learning.
    • Ask authors questions and read what others have to say.
    Sign in Register
    Print this article
    Comments (0)

    Ask the author

    0 comments
    Submit
    Close
    Would to like to further discuss this item?

    Get access to all handy features included in the IVIS website

    • Get unlimited access to books, proceedings and journals.
    • Get access to a global catalogue of meetings, on-site and online courses, webinars and educational videos.
    • Bookmark your favorite articles in My Library for future reading.
    • Save future meetings and courses in My Calendar and My e-Learning.
    • Ask authors questions and read what others have to say.
    Sign in Register
    About

    How to reference this publication (Harvard system)?

    Madigan, J. E. (2016) “Nasogastric Intubation”, Manual of Equine Neonatal Medicine. Available at: https://www.ivis.org/library/manual-of-equine-neonatal-medicine/nasogastric-intubation (Accessed: 10 June 2023).

    Affiliation of the authors at the time of publication

    School of Veterinary Medicine, University of California-Davis, CA, USA.

    Author(s)

    • John Madigan

      Madigan J.E.

      Professor of Medicine and Epidemiology
      MS DVM Dipl. ACVIM ACAW
      Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California
      Read more about this author

    Copyright Statement

    © All text and images in this publication are copyright protected and cannot be reproduced or copied in any way.
    Related Content

    Readers also viewed these publications

    • Journal Issue

      Veterinary Evidence - Vol 8 N°2, Apr-Jun 2023

      In: Veterinary Evidence
      JUN 07, 2023
    • Proceeding

      NO Laminitis! Virtual Conference - 2021

      By: ECIR - Equine Cushing's and Insulin Resistance Group Inc.
      MAY 02, 2023
    • Proceeding

      BEVA - Annual Congress - Liverpool, 2022

      By: British Equine Veterinary Association
      MAR 20, 2023
    • Journal Issue

      Veterinary Evidence - Vol 8 N°1, Jan-Mar 2023

      In: Veterinary Evidence
      MAR 19, 2023
    • Proceeding

      AVEF - Conférence Annuelle - Reims, 2022

      By: Association des Vétérinaires Équins Français
      MAR 03, 2023
    • Proceeding

      EEHNC - Virtual Congress - 2021

      By: European Equine Health and Nutrition Congress
      FEB 09, 2023
    • Proceeding

      SFT - Theriogenology Annual Conference - Bellevue, 2022

      By: Society for Theriogenology
      JAN 10, 2023
    • Proceeding

      ACVIM & ECEIM - Consensus Statements

      By: American College of Veterinary Internal Medicine
      NOV 11, 2022
    • Journal Issue

      Veterinary Evidence - Vol 7 N°2, Apr-Jun 2022

      In: Veterinary Evidence
      OCT 07, 2022
    • Journal Issue

      Veterinary Evidence - Vol 7 N°3, Jul-Sep 2022

      In: Veterinary Evidence
      OCT 04, 2022
    • Journal Issue

      Veterinary Practice Management Articles - Veterinary Focus

      In: Veterinary Focus
      AUG 05, 2022
    • Chapter

      Nutrition

      In: The Clinical Companion of the Donkey (2nd Edition)
      JUL 09, 2022
    • Chapter

      Pharmacology and Therapeutics

      In: The Clinical Companion of the Donkey (2nd Edition)
      JUL 03, 2022
    • Chapter

      Sedation, Anaesthesia and Analgesia

      In: The Clinical Companion of the Donkey (2nd Edition)
      JUN 05, 2022
    • Chapter

      The Geriatric Donkey

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 20, 2022
    • Chapter

      Euthanasia and the Post-Mortem Examination

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 20, 2022
    • Chapter

      Appendix 7: Example Diets: for the mature, pregnant and lactating donkey

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 12, 2022
    • Chapter

      Appendix 2: Donkey Weight Estimator

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 12, 2022
    • Chapter

      Appendix 1: The Clinical Examination

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 12, 2022
    • Chapter

      Appendix 5: Monitoring your Donkey’s Quality of Life

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 12, 2022
    • Chapter

      Appendix 6: Professional record of Assessment for Quality of Life

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 12, 2022
    • Chapter

      Appendix 3: Body Condition Scoring

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 12, 2022
    • Chapter

      Appendix 4: Parameters: Biochemistry and Haematology

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 12, 2022
    • Chapter

      The Care of the Foal

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 12, 2022
    • Chapter

      Approach to the Dull Donkey

      In: The Clinical Companion of the Donkey (2nd Edition)
      MAY 07, 2022
    • Load more
    Buy this book

    Buy this book

    The Manual of Equine Neonatal Medicine can be purchased either directly from the Live Oak Publishing or via Amazon.

    Buy this book from one of the distributors listed below
    Amazon Logo
    Amazon
    https://www.amazon.com/s?k=manual%20of%20equine%20neonatal%20medicine&crid=2M7W…
    Back To Top
    Become a member of IVIS and get access to all our resources
    Create an account
    Sign in
    Leading the way in providing veterinary information
    About IVIS
    • Mission
    • What we do
    • Who we are
    Need help?
    • Contact
    Follow IVIS
    • Twitter
    • Facebook
    International Veterinary Information Service (IVIS) is a not-for-profit organization established to provide information to veterinarians, veterinary students, technicians and animal health professionals worldwide using Internet technology.
    Support IVIS
    © 2023 International Veterinary Information Service
    • Disclaimer
    • Privacy Policy