What should be done if resistance is felt while inserting a gastric gavage tube?

What should be done if resistance is felt while inserting a gastric gavage tube?

• A. Stop, reposition the tube, and continue inserting.
• B. Keep inserting the tube as this is normal.
• C. Stop, remove the tube, and start over.
• D. Administer the gavage solution.

Answer: (C)

Safety and correct tube placement during gavage insertion require recognizing that resistance means you’re not on the right path or there may be a kink or obstruction. Forcing the tube can cause trauma to the nasal passages, esophagus, or even push it into the airway, leading to misplacement. The right move is to stop immediately, withdraw the tube, and start over. When you reattempt, reassess the technique: ensure proper head and neck positioning, re-lubricate, advance gently along the midline toward the esophagus, and consider trying the other nostril if appropriate. After reinsertion, verify placement before delivering anything.

Safety and correct tube placement during gavage insertion require recognizing that resistance means you’re not on the right path or there may be a kink or obstruction. Forcing the tube can cause trauma to the nasal passages, esophagus, or even push it into the airway, leading to misplacement. The right move is to stop immediately, withdraw the tube, and start over. When you reattempt, reassess the technique: ensure proper head and neck positioning, re-lubricate, advance gently along the midline toward the esophagus, and consider trying the other nostril if appropriate. After reinsertion, verify placement before delivering anything.