Surgical Management of Gastrointestinal Hemorrhage
First Things First (assess & treat for the following)
- Assess magnitude of hemorrhage.
- Stabilize pt.
- 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
"Surgical Management of Gastrointestinal Hemorrhage." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534097/all/Surgical_Management_of_Gastrointestinal_Hemorrhage.
Surgical Management of Gastrointestinal Hemorrhage. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534097/all/Surgical_Management_of_Gastrointestinal_Hemorrhage. Accessed June 5, 2023.
Surgical Management of Gastrointestinal Hemorrhage. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534097/all/Surgical_Management_of_Gastrointestinal_Hemorrhage
Surgical Management of Gastrointestinal Hemorrhage [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2023 June 05]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534097/all/Surgical_Management_of_Gastrointestinal_Hemorrhage.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Surgical Management of Gastrointestinal Hemorrhage ID - 534097 Y1 - 2010/05/05/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534097/all/Surgical_Management_of_Gastrointestinal_Hemorrhage PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -