Removal of gastric contents in select poisoning cases within 1h of ingestion. Rarely indicated today.
Indications
- • Life-threatening ingestion within 1h
- • Patient intubated / airway protected
Contraindications
- ⚠ Corrosive / hydrocarbon ingestion
- ⚠ Unprotected airway
- ⚠ Bleeding diathesis
Equipment
- • Wide-bore Ewald tube (36–40 F adult)
- • Warm saline / water
- • Suction
- • Airway protection
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
Intubate if depressed GCS.
Immediate complications
- ⚠ Aspiration
- ⚠ Esophageal injury
- ⚠ Electrolyte disturbance
Recognition
- • Cough, hypoxia
Initial management
- • Suction; supportive
Prevention
- • Airway protection
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
