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Thursday, May 5, 2016

US guided blakemore tube placement

Resultado de imagen de EM CRIT
PulmCrit - May 4, 2016 - By Josh Farkas
Introduction
The most widely feared complication of placing a Blakemore tube is complete inflation of the gastric balloon while it is not in the stomach. If the gastric balloon is fully inflated anywhere outside the stomach (i.e. esophagus, trachea, bronchus, duodenum), this may cause visceral perforation.
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  • Inflation of the gastric balloon of a Blakemore tube anywhere other than the stomach may cause visceral perforation (e.g. esophagus, trachea, duodenum).
  • These patients typically have a stomach filled with blood, which facilitates gastric ultrasonography.
  • Ultrasonography may allow for visualization of the Blakemore tube and gastric balloon within the stomach. This can guide rapid tube placement, without interrupting the procedure for X-ray confirmation.