User:Mr. Ibrahem/Esophageal balloon tamponade
| Mr. Ibrahem/Esophageal balloon tamponade | |
|---|---|
 Drawing of using the Blakemore tube. There is a manometer connected to the esophageal port, to enable inflating the balloon with correct pressure. | |
| Specialty | Emergency medicine, gastroenterology |
| Uses | Variceal bleeding (esophageal or stomach)[1] |
| Complications | Airway obstruction, esophageal rupture[1] |
| Types | Sengstaken-Blakemore, Minnesota, Linton[2] |
Esophageal balloon tamponade refers to the use of balloon tamponade in the esophagus and stomach.[1] This is generally carried out to treat bleeding from esophageal or gastric varices when other measures are not available or not successful.[1]
The most common cause of bleeding from varices is cirrhosis.[1] These devices are generally only used in people who are hemodynamically unstable.[1] Contraindications for placement include recent esophageal surgery or esophageal stricture.[1]
Preparation involves intubation followed by placing the person on their back at 45 degrees.[1] The device is than checked to make sure no leaks are present.[1] It is than placed via the mouth and 50 ml of air are added to the stomach balloon.[1] An X-ray is than done to verify placement and once confirmed more air is added.[1] Traction can than be applied.[1] Bleeding is than checked for, and if present the esophageal balloon may be inflated using a manometer.[1]
After placement, further treatment is required.[1] Complications can include airway obstruction, esophageal rupture, and aspiration pneumonia.[1] The procedure is rarely done.[1] The first device developed was the Sengstaken-Blakemore tube in the 1950s.[1] Other versions of the device include the Minnesota tube and the Linton tube.[1][2]
References[edit]
- ^ a b c d e f g h i j k l m n o p q r s t Powell, M; Journey, JD (January 2021). "Sengstaken-Blakemore Tube". PMID 32644350.
{{cite journal}}: Cite journal requires|journal=(help) - ^ a b "Esophageal Balloon Tamponade". fpnotebook.com. Archived from the original on 22 January 2021. Retrieved 15 March 2021.