REBEL Cast REBEL Core Cast 129.0 – Gastric Lavage
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Oct 16, 2024 Explore the critical role of orogastric lavage in treating drug overdoses. Discover when this procedure is appropriate, especially for highly toxic substances. Learn about the risks associated with lavage and the importance of airway management to prevent aspiration. Timing is essential, and not every case warrants this intervention. Tune in for a deep dive into this rare but vital emergency care technique!
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Gastric Lavage Timing and Indications
- Only consider gastric lavage within 60 minutes of ingestion and if the toxin or dose is potentially life-threatening.
- Avoid lavage if the substance has limited toxicity, the dose is low, the patient is vomiting, or if over an hour has passed.
Drugs Where Lavage Is Considered
- Consider gastric lavage for overdoses of drugs with high toxicity and no effective antidotes.
- Examples include MAO inhibitors, large tricyclic antidepressant overdoses, lithium, and colchicine.
Contraindications and Consultation
- Never perform lavage for alkaline ingestion, hydrocarbons, or after recent upper GI surgery.
- Consult a toxicologist before proceeding in appropriate cases to guide management.
Take Home Points