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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Thursday, June 23, 2016

Orogastric Lavage

CORE EM - By Anand Swaminathan - Edited by Daniel Lugassy
"Orgastric lavage is a controversial topic. In the past, it was used liberally in patients with a variety of reported toxic exposures. In recent times, it is performed rarely in the developed world, as the benefits are not clear and supportive care has significantly advanced. In spite
of this change, there may still be a role for orogastric lavage in a small subset of patients presenting early after a life threatening toxic ingestion.
Take Home Points
  1. Orogastric lavage may still play an important role in treatment of the overdose patient. Do not perform lavage if the ingestion has limited toxicity at any dose or the ingested dose is unlikely to cause significant toxicity.
  2. Strongly consider orogastric lavage in a patient who has taken an overdose of drugs that are particularly toxic, suspected extreme doses associated with high morbidity/mortality and do not have easily available and effective antidotes.
  3. Secure the airway prior to placing the lavage tube to minimize aspiration risk."