impact of NG lavage on outcomes in GI bleeding

19 Nov

Article by Huang ES et al, reviewed in November’s Emergency Medicine News:

632 VA hospital patients with GI Bleeding

60% got nasogastric lavage (to look for blood in the lavage), 40% did not

 

PATIENTS WITH NG LAVAGE MORE LIKELY TO…

  • get endoscopy
  • get endoscopy sooner
  • have high-risk lesions if bloody aspirate on NG lavage

 

NO SIGNIFICANT DIFFERENCE IN…

  • transfusion requirement
  • length of hospital stay
  • need for surgery
  • 30-day mortality

 

OTHER NOTES FROM THE EMN ARTICLE:

  • thought is to help risk stratisfy by looking for bloody aspirates
  • NG lavage rated by patients as one of the most painful ED procedures
  • risk of complications (e.g. epistaxis, aspiration, disrupting clots, etc.)
  • high false negative rates (up to 18%)
  • inaccurate interpretation (up to 50%)

 

 

References: huang article, EMN article; picture

 

Advertisements

2 Responses to “impact of NG lavage on outcomes in GI bleeding”

Trackbacks/Pingbacks

  1. Nebulized Lidocaine | DAILYEM - January 23, 2014

    […] –NG tubes are one of the most painful procedures with limited utility, anyways […]

  2. Ischemic colitis in marathon runners | DAILYEM - March 27, 2014

    […] away as much as possible from NG tubes in these¬†patients, given its limited utility and that its one of the more painful procedures) […]

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: