Emergency Medical Minute12 Okt 2021

Podcast 720: Blakemore & Minnesota Tubes: Part I

Contributor: Dylan Luyten, MD

Educational Pearls:

Minnesota Tube has an extra port for suctioning otherwise is the same as a Blakemore Tube
Indicated in MASSIVE upper GI bleeding often due to esophageal varices
Esophageal varices are dilated, tortuous vessels in the esophagus due to increased portal venous pressure that can bleeding into the upper GI tract
Patients with massive upper GI bleed should be intubated prior to placing a Blakemore/Minnesota tube

References

Meseeha M, Attia M. Esophageal Varices. [Updated 2021 Aug 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448078/

Biecker E. Portal hypertension and gastrointestinal bleeding: diagnosis, prevention and management. World J Gastroenterol. 2013;19(31):5035-5050. doi:10.3748/wjg.v19.i31.5035

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/

Photo from Wikimedia Commons

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

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