What risks should be avoided when using an orogastric tube in a newborn?

When utilizing an orogastric tube in a newborn, the aspiration of contents presents a significant risk that should be carefully managed. Aspiration occurs when feedings or gastric contents can mistakenly enter the airways instead of remaining in the stomach. This can lead to serious complications such as aspiration pneumonia, which is particularly hazardous in neonates whose respiratory systems are still developing.

Preventing aspiration is essential and typically involves ensuring that the tube is properly placed and secured, monitoring the newborn during feeding, and being vigilant about the signs of distress. This awareness is crucial as newborns have limited protective reflexes that would typically guard against aspiration. Therefore, managing this risk is a primary focus when caring for infants with an orogastric tube, ensuring their safety during feeding and medical care.