Position Paper: Gastric Lavage
@article{Vale2004PositionPG, title={Position Paper: Gastric Lavage}, author={J Allister Vale and Kenneth W. Kulig}, journal={Journal of Toxicology: Clinical Toxicology}, year={2004}, volume={42}, pages={933 - 943} }
Gastric lavage should not be employed routinely, if ever, in the management of poisoned patients. In experimental studies, the amount of marker removed by gastric lavage was highly variable and diminished with time. The results of clinical outcome studies in overdose patients are weighed heavily on the side of showing a lack of beneficial effect. Serious risks of the procedure include hypoxia, dysrhythmias, laryngospasm, perforation of the GI tract or pharynx, fluid and electrolyte…
94 Citations
Position paper update: gastric lavage for gastrointestinal decontamination
- MedicineClinical toxicology
- 2013
There is no evidence showing that gastric Lavage should be used routinely in the management of poisonings, and the evidence supporting gastric lavage as a beneficial treatment in special situations is weak, as is the evidence to exclude benefit in all cases.
Utility of Upper Gastrointestinal Endoscopy for Management of Patients with Roundup® Poisoning
- Medicine
- 2014
Endoscopy may be useful in cases of liquid poisoning including, Roundup, both to determine the amount of residual toxin and to remove it from the stomach.
Orogastric lavage: a lifesaving procedure now forgotten.
- Medicine
- 2014
A teenage girl presented to Emergency Department with history of ingestion of a bottle of pesticide within the time frame before gastric emptying, and was resuscitated, intubated and orogastric lavage was performed.
Medico-legal consideration of gastric lavage in acutely intoxicated patients
- MedicineEmergency Medicine Journal
- 2007
Gastric lavage is now known to be ineffective, unnecessary or hazardous in some circumstances where it used to be performed as a routine and in South Korea, there was the case of a patient who ingested cocaine.
Retained pill fragments at autopsy: Time to rethink gastric decontamination?
- MedicineClinical toxicology
- 2015
The role of gastric decontamination and emptying in the care of poisoned patients is the subject of signifi cant debate in clinical toxicology and reports suggest that good supportive critical care measures may be associated with better outcomes.
Decontamination and elimination of drugs
- Medicine
- 2006
Epuration techniques include emetics, gastric lavage, single or multiple dose of activated charcoal, cathartics and whole bowel irrigation, while elimination techniques are not validated and blood exchange transfusions or plasma exchanges or are never indicated.
Evaluation and management of common childhood poisonings.
- MedicineAmerican family physician
- 2009
Family physicians often manage substance ingestions in children, most of which are nontoxic in nature, but some long-acting medications have delayed toxin effects and require additional surveillance.
Lavage or not to lavage – hazards due to deviation from National Guidelines
- MedicineJournal of the Ceylon College of Physicians
- 2018
Reducing deaths from pesticide self-poisoning would require a coordinated effort involving new antidote development and optimizing medical care given to these patients at both primary and tertiary care units.
Massive levothyroxine ingestion in a pediatric patient: case report and discussion.
- MedicineCJEM
- 2011
The course of a toddler who ingested a massive amount of levothyroxine and review treatment options for such overdoses is described and a case illustrates, massive ingestion of lev Timothyroxine in children typically follows a benign course.
Drugs and pharmaceuticals: management of intoxication and antidotes
- Medicine, BiologyEXS
- 2010
Patients generally benefit from aggressive support of vital functions, careful history and physical examination, specific laboratory analyses, a thoughtful consideration of the risks and benefits of decontamination and enhanced elimination, and the use of specific antidotes where warranted.
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