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					NASOGASTRIC INTUBATION

Gastric Aspiration Tubes
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Stomach aspiration tube Ryle’s tube Sengstaken-Blackmore tube Infant feeding tube

Ryle’s tube

Indications
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Diagnostic
Abdominal trauma Aspiration of gastric juice to know the secretory activity of the stomach Collection of duodenal contents to diagnose typhoid carriers and to demonstrate tuberculous bacilli in children. To confirm the diagnosis of Pernicious anaemia associated with achlorhydria.

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Therapeutic
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Gastric lavage To keep the stomach empty to give local rest (in peritonitis) To decompress the GIT Feeding – in unconscious and comatose pts. As a catheter in suprapubic cystostomy.

Complications
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Epistaxis, Sinusitis Oesophageal ulceration, Oesophagitis Oesophageal perforation Aspiration pneumonia URTI Excessive gagging

Contraindications
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Absolute - A/C corrosive poisoning Relative
1. 2. 3. 4. Oesophageal varices Pts with respiratory distress Cardiac patients Maxillo facial injury

Gastric Aspiration Tubes
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Stomach aspiration tube Ryle’s tube Sengstaken-Blackmore tube Infant feeding tube

Stomach aspiration tube

Indications
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Stomach wash in poisoning
1.Acute alcohol poisoning 2.Non-corrosive poisoning 3.Food poisoning

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Antiseptic wash

Contraindications
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Acute corrosive poisoning Oesophageal varices Kerosene poisoning

X-ray Chest showing Ryle’s tube insitu

Sengstaken- Blackmore tube
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It is a triple lumen hemostatic tube having 2 balloons
Meant for stopping bleeding from oesophageal varices by applying pressure on varices. Modified version-Sengstaken-Minnesota tube

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Sengstaken- Blackmore tube


				
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posted:11/16/2008
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