Hi Michael,

Thanks for replying. Our nurses are not sure what to try next...

Your suggestion about feeding the tube through the crotch might just be the answer. Will have to try it tomorrow night when I'm "back on overnight parenting duty" (DH is staying at the hospital with him tonight).

So far we've been coiling the tube and then taping it to his back during the daytime while the kangaroo pump isn't attached. This seems to work ok outside of the overnight feeds. But overnight he seems to need the extra length from this part of the tube to reduce the chance of him tangling it as he is a really wriggly restless sleeper. Getting tangled in the tube is another way he's been accidently unplugging it. So overnight we have just been taping it (with elastoplast) to the top of his sleeping bag near his shoulder. I take it out through the crotch might mean we can't put him in the sleeping bag, but with summer coming that shouldn't be too much of a problem.

The unplugging is definitely worse since we changed from the temporary green and clear nasal tube to the long term white silastic tube. I think it's because they staff are using a three way plug to attach his nasal tube to the kangaroo pump (so they can flush with water without unplugging). This three way plug doesn't seem to fit as snugly as attaching the tube from the kangaroo pump directly into the silastic tube (using the little red nib thingy to stop it stretching). We're all having so little sleep with the super regular alarming of the pump, Gus tangling himself, the tube getting a kink in it, the attachment breaking free, the Neocate Advace running out etc and that's with us not being responsible for doing anything beyond hitting the nurse call button. I know it's early days yet and that two weeks probably isn't long enough to iron out all the probs, but we're not looking forward to the lack of sleep once we're back home with him in a few weeks...