What tube is used for gastric lavage?

What tube is used for gastric lavage?

Whenever gastric lavage is performed, a large-bore (36 or 40 French tube in adults) should be placed through the mouth, and proper location of the tube in the stomach should be verified clinically or radiographically.

What is an Ewald tube used for?

Ewald tube (plural Ewald tubes) An orogastric tube used to pump the stomach.

What is a lavage tube?

Gastric lavage involves placing a tube through the mouth (orogastric) or through the nose (nasogastric) into the stomach. Toxicants are removed by flushing saline solutions into the stomach, followed by suction of gastric contents.

What equipment is needed for stomach lavage?

Nasogastric tube. Ice water. Endotracheal intubation equipment, if airway needs to be protected (see Rapid Sequence Intubation) Y connector.

When is gastric lavage indicated?

Apart from toxicology, gastric lavage (or nasogastric lavage) is sometimes used to confirm levels of bleeding from the upper gastrointestinal tract. It may play a role in the evaluation of hematemesis. It can also be used as a cooling technique for hyperthermic patients.

What is a duo tube?

The Flocare® Duo-Tube is a nasal, double lumen tube allowing simultaneous intestinal feeding and gastric drainage. The special design of the Duo-Tube allows the removal of one of the tubes (gastric or jejunal) while keeping the other in place, without additional endoscopy.

How do you use a lavage NG tube?

1. Insert the nasogastric/orogastric tube into the stomach, then confirm placement (see Nasogastric/Orogastric Tube Insertion).
2. Introduce 200 to 300 mL of water at body temperature into the tube and then lower the tube into the bucket below the level of the stomach before water disappears from the funnel.

When is gastric lavage needed?

Gastric lavage must be performed soon after ingestion to be at all effective in removing drugs from the stomach. For this reason, many clinicians do not lavage patients who have overdosed if more than 1 hour has elapsed since ingestion.

How do you perform gastric lavage?

Gastric lavage involves the passage of a tube (such as an Ewald tube) via the mouth or nose down into the stomach followed by sequential administration and removal of small volumes of liquid. The placement of the tube in the stomach must be confirmed by pH testing a small amount of aspirated stomach contents, or x-ray.

Why does gastric lavage occur?

Gastric lavage (for swallowed sputum) is useful for collecting specimens from patients who, for a variety of reasons, are unable to produce sputum by other means. Gastric lavage is the specimen of choice from infants and children (up to 12 years) suspected of having pulmonary tuberculosis.

What is the position for gastric lavage?

A fully awake patient should be placed in the left lateral decubitus position. An intubated patient may lie supine. 2. Introduce 200 to 300 mL of water at body temperature into the tube and then lower the tube into the bucket below the level of the stomach before water disappears from the funnel.