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Patient Assessment
Published in Ian Greaves, Keith Porter, Jeff Garner, Trauma Care Manual, 2021
Ian Greaves, Keith Porter, Jeff Garner
Marked gastric distension is frequently found in crying children, adults with head or abdominal injuries and patients who have been ventilated using a bag-and-mask technique. The insertion of a nasogastric or orogastric tube facilitates the abdominal examination of these patients and reduces the risks of aspiration.
The Abdomen
Published in Kenneth D Boffard, Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
During resuscitation, standard Advanced Trauma Life Support® guidelines should be followed. These should include: Standard A-B-C-D-E priorities.Nasogastric or orogastric tube.Urinary catheter.
Principles of laparoscopic and robotic surgery
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
An orogastric tube may be placed during the operation if the stomach is distended and obscuring the view. It is not necessary in all cases. It should be removed as soon as the operation is over and before the patient regains consciousness. This is more routinely used in bariatrics and oesophagogastric surgery, where a larger (32F or 34F) tube is used.
Comparison of analgesic efficacy of ultrasound-guided erector spinae block with port site infiltration following laparoscopic cholecystectomy
Published in Egyptian Journal of Anaesthesia, 2023
Magdy Mohammed Mahdy, Essam Ezzat Abdelhakeem, Ayman Mohamed Fawzy, Mostafa Samy Abbas
Standard monitors were used, including noninvasive blood pressure, pulse oximetry, electrocardiography, temperature, and capnography. Fentanyl 1–2 µg/kg and Propofol 2 mg/kg were used to induce anesthesia. Rocuronium bromide 0.6 mg/kg was used to facilitate endotracheal intubation and maintain skeletal muscle relaxation during surgery with the aid of train of four. Oxygen-air mixture 40% and isoflurane were used to maintain anesthesia. To guarantee normocarbia, controlled ventilation with closed circuit is used. After induction of general anesthesia nasogastric or orogastric tube was used to deflate the stomach which was removed at end of surgery. Patients underwent the intervention in accordance with their group assignment after anesthesia induction and under strict aseptic conditions.
Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial
Published in Egyptian Journal of Anaesthesia, 2023
Shady Rady Abdalla, Ahmed Abdalla Mohamed, Marianne Magdy Roshdy, Maha Mohamed Ismail, Ashraf Mohamed Abdelreheem, Walaa Mohamed Bahnas, Mahmoud Salem Soliman
Once the patient is connected to the ventilator circuit, a lubricated gastric tube will be passed through the integrated drainage channel present in each device. The insertion success rate was recorded, ease of its passage through the specific channel and confirmed placement by aspiration of gastric contents or by auscultation over the stomach as air was injected into the tube. The number of attempts made to enter it was counted. Failure to advance the orogastric tube was considered a failed effort; a maximum of two tries were permitted. The orogastric tube was eliminated immediately post insertion. The ease of gastric tube insertion was graded as grade 1: an easy-insertion on the first attempt, grade 2: difficult-insertion on the second attempt or grade 3: failure – unable to pass (inability to pass the gastric tube even with two attempts).
Life-threatening massive upper gastrointestinal bleeding in a term and healthy baby
Published in Baylor University Medical Center Proceedings, 2023
Serdar Alan, Sevde Nur Vural, Hacer Fulya Gulerman, Meryem Albayrak, Didem Aliefendioglu
There was no problem until the 17th hour of life. After that, the infant vomited lots of fresh and clotted blood twice (Figure 1) and was admitted to the NICU. Pallor, tachycardia, low blood pressure, and oxygen need were not found in his first physical examination at the NICU. There was no crack in his mother’s nipples. After again profusely vomiting, he experienced tachycardia (187 beats/min), tachypnea (64 breaths/min), and hypotension (38/19 mm Hg). The dose of 1 mg of vitamin K was repeated. His hemoglobin was 13.5 g/dL, hematocrit 41.2%, and platelets 250,000/mm3; his blood gas analysis found a pH of 7.26, HCO3 of 6.1 mmol/L, base deficit of −21.0 mmol/L, and lactate of 11.3 mmol/L. In addition, prothrombin time, partial thromboplastin time, international normalized ratio, procalcitonin, and C-reactive protein were in the normal range. A total of 65 cc of fresh bleeding was observed within minutes of placing the orogastric tube.