Gastric Lavage

Indications

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

    • Diagnostically: To confirm upper gastrointestinal bleeding.

Contraindications

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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

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  • • Lubricant gel.

    • Large bore orogastric tube.

    • Terumo 60-mL catheter tip syringe.

    • Normal saline at 38 °C.

    • Drainage basin.

    • Stethoscope.

Risks

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  • • Perforation.

    • Bleeding.

Pearls and Tips

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  • • 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

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