Gastric Lavage




Indications



Listen






  • • Therapeutically: To remove gastric contents after poisoning or drug overdose.


    • Diagnostically: To confirm upper gastrointestinal bleeding.





Contraindications



Listen




Absolute





  • • Unstable airway.


    • Intestinal perforation.


    • Cervical spine trauma.


    • Facial trauma.





Relative





  • • Coagulopathy (prothrombin time > 18 seconds).


    • Thrombocytopenia (platelet count < 100,000/mcL).


    • Recent intestinal tract surgery (< 1 month ago).





Equipment



Listen






  • • Lubricant gel.


    • Large bore orogastric tube.


    • Terumo 60-mL catheter tip syringe.


    • Normal saline at 38 °C.


    • Drainage basin.


    • Stethoscope.





Risks



Listen






  • • Perforation.


    • Bleeding.





Pearls and Tips



Listen






  • • Measure length of tube insertion by positioning the tube from the nares or mouth to the ear, and to the umbilicus.


    • There is also a standard table, which uses height of child.


    • If the tube is obstructed, flush first with water; longstanding obstruction may be removed by flushing the tube with caffeinated soda.



Jan 4, 2019 | Posted by in PEDIATRICS | Comments Off on Gastric Lavage

Full access? Get Clinical Tree

Get Clinical Tree app for offline access