{"id":9276,"date":"2013-10-03T14:16:40","date_gmt":"2013-10-03T18:16:40","guid":{"rendered":"https:\/\/crashingpatient.com\/?p=9276"},"modified":"2013-10-03T14:16:40","modified_gmt":"2013-10-03T18:16:40","slug":"blakemore-placement","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/procedures\/blakemore-placement.htm\/","title":{"rendered":"Blakemore Placement"},"content":{"rendered":"
My BP manometer with the adapter from the salem sump<\/p>\n
test for leaks<\/p>\n
evacuate air and put in plugs<\/p>\n
HOB 45<\/p>\n
pass it to at least 50 cm<\/p>\n
numbers on tube should face the right lateral portion of the esophagus on the Bard tube<\/p>\n
get xray<\/p>\n
250-300 cc air in the gastric balloon<\/p>\n
1-2 lb weight or pull back until resistance (use 1 liter bag of saline = 1 kilo)<\/p>\n
tie the tube to something<\/p>\n
30 mmHg in esophageal (may increase to 45 if still bleeding)<\/p>\n
Use my mano with a saline lock and the Salem Sump NGT adapter<\/p>\n
Can use clamps from pressure bags<\/p>\n
lavage the stomach to see if there is still bleeding<\/p>\n
if still bleeding can go up in 5 mmHg increments until 45<\/p>\n
deflate esophageal for 5 minutes every 6 hours<\/p>\n
slowly deflate the esophageal to see if bleeding continues to be staunched<\/p>\n