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GI Tubes

Audience: Medical Students and Residents Learning Objectives: Identify and describe the appropriate position of GI catheters, and the common incorrect positions Choose the appropriate next step in management for handling a misplaced tube Summary: Getting past the epiglottis is the key Have the patient actively swallow to overcome gag reflex Hard to localize a tube until its beyond the carina If the tube reaches the pleura, call surgery before pulling Replace G or J-tubes with 24-48 hrs