Podcast 721: Blakemore & Minnesota Tubes: Part II

Podcast 721: Blakemore & Minnesota Tubes: Part II

Contributor: Dylan Luyten, MD

Educational Pearls:

  • To place a Blakemore/Minnesota Tube:
    • Insert into esophagus under visualization
    • Inflate gastric port with 60 cc of air and obtain a chest xray to ensure the balloon below the diaphragm
    • Once confirmed, place a total of 500cc of air into the gastric balloon via the gastric port
    • Tie a liter saline bad to the tube using Kerlix and hang it off an IV pole or other object to provide about 2 lbs of traction
    • Now the the tube is in place under traction, attach a manometer to the esophageal balloon port
    • Provide low pressure to tamponade a variceal bleed, which is about 33 mmHg
  • This is a temporizing measure and often patients need to get a Transjugular Intrahepatic Portosystemic Shunt (TIPS) from interventional radiology for more definitive treatment

References

Powell M, Journey JD. Sengstaken-Blakemore Tube. [Updated 2021 Jul 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558924/

Amazing video of placement by EM:RAP ProductionsPlacement of a Minnesota Tube for Bleeding Varices

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.

Donate to EMM today!



Jaksot(1147)

COVID-19 Digest: The Possible Link Between Severe COVID-19 and Low Vitamin D Levels (Recorded 5/21/20)

COVID-19 Digest: The Possible Link Between Severe COVID-19 and Low Vitamin D Levels (Recorded 5/21/20)

Host: Elizabeth Esty, MD. At this point, with so many of the studies we've digested exploring correlations, associations, observational studies and anecdotal reports and speculation, we could subtitle...

22 Touko 202018min

On the Streets #5: Trauma during COVID-19

On the Streets #5: Trauma during COVID-19

Jordan sits down to discuss trauma with Dr. Kaysie Banton, the Trauma Services Medical Director at Level 1 Trauma Center Swedish Medical Center in Englewood, Colorado. In this laid back interview, Dr....

20 Touko 202026min

Podcast 564:  Cardiac Ischemia Management Update

Podcast 564: Cardiac Ischemia Management Update

Contributor: Nick Tsipis, MD Educational Pearls: Recent randomized controlled trial compared early intervention (PCI/CABG) to medical management for those diagnosed with moderate to severe cardiac is...

19 Touko 20205min

Podcast 563:  DC ACs

Podcast 563: DC ACs

Contributor: Nick Hatch, MD Educational Pearls: An AC (acromioclavicular joint) separation in the shoulder is a common traumatic injury XRs can help rule out other injuries as well as help with gradi...

18 Touko 20202min

COVID-19 Digest: Could Cigarette Smoking Actually be Protective Against COVID?

COVID-19 Digest: Could Cigarette Smoking Actually be Protective Against COVID?

Host: Elizabeth Esty, MD. Smoking is known to increase both susceptibility and severity of all manner of colds and pneumonias, so you'd think the world's 1.1 billion smokers would be at risk in this p...

13 Touko 202018min

Podcast 562:  COVID-19 Occlusions

Podcast 562: COVID-19 Occlusions

Contributor: Nick Tsipis, MD Educational Pearls: Case series reported 5 cases of generally young and healthy patients with COVID-19 who presented to the ER with acute stroke Now several case series s...

12 Touko 20202min

Podcast 561:  Give Bup

Podcast 561: Give Bup

Contributor: Don Stader, MD Educational Pearls: Buprenorphine has been shown to decrease morbidity and mortality in opioid use disorder Buprenorphine used in naloxone-induced withdrawals can displace...

11 Touko 20204min

COVID-19 Digest: Bacille Calmette-Guérin (BCG) Vaccine for Treating COVID-19

COVID-19 Digest: Bacille Calmette-Guérin (BCG) Vaccine for Treating COVID-19

In the US, few people receive vaccination for tuberculosis (TB), a disease that hasn't been a major killer here for many decades. But while we in the US mostly experience TB as a relatively rare but ...

8 Touko 202014min

Suosittua kategoriassa Tiede

rss-mita-tulisi-tietaa
rss-poliisin-mieli
utelias-mieli
tiedekulma-podcast
docemilia
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
rss-duodecim-lehti
rss-tervetuloa-tervemenoa
rss-ylistys-elaimille
rss-tervetta-skeptisyytta