Surgical Management of Gastrointestinal Hemorrhage

Surgical Management of Gastrointestinal Hemorrhage is a topic covered in the Pocket ICU Management.

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Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drugs, procedures, and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and PRIME Journals. Explore these free sample topics:

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First Things First (assess & treat for the following)

  • Assess magnitude of hemorrhage.
  • Stabilize pt.
    • ABCs
    • Two large-bore IVs
    • Begin resuscitation w/ crystalloid solution (lactated Ringer’s).
    • Follow w/ blood if required after 2 L of crystalloid.
    • Place Foley catheter.
    • Place NG tube to help differentiate upper & lower GI bleeding. Lavage the stomach w/ saline until clear fluids returns. Return of bilious material suggests bleeding beyond ligament of Treitz.

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First Things First (assess & treat for the following)

  • Assess magnitude of hemorrhage.
  • Stabilize pt.
    • ABCs
    • Two large-bore IVs
    • Begin resuscitation w/ crystalloid solution (lactated Ringer’s).
    • Follow w/ blood if required after 2 L of crystalloid.
    • Place Foley catheter.
    • Place NG tube to help differentiate upper & lower GI bleeding. Lavage the stomach w/ saline until clear fluids returns. Return of bilious material suggests bleeding beyond ligament of Treitz.

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Last updated: May 5, 2010