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}
}
  • J. Vale, K. Kulig
  • Published 1 January 2004
  • Medicine
  • Journal of Toxicology: Clinical Toxicology
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… 
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References

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Gastric Emptying Procedures in the Self-Poisoned Patient: Are we Forcing Gastric Content beyond the Pylorus?
TLDR
The data show a significant difference in the number of residual pellets in the small bowel of the treated group (n=40), when compared with the control group (P < 0.0001), and the inefficiency of gastric-emptying procedures is highlighted.
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Ipecac-induced emesis versus gastric lavage: a controlled study in normal adults.
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TLDR
In a population consisting of patients with detectable quantities of drugs in the lavage sample, diazepam and amitriptyline are more adequately recovered than the sedative-hypnotic drugs.
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Drug overdoses: Is one stomach washing enough?
TLDR
It was concluded that routine aspiration of gastric contents at hourly intervals after admission was of considerable value in removing any residual drugs.
Gastrointestinal tract perforation with charcoal peritoneum complicating orogastric intubation and lavage.
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