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Gastric lavage in case of poisoning

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To perform gastric lavage, it is important to keep a few points in mind:

  • Be sure that you have ingested a dangerous dose of a toxic substance
  • That the ingestion Of the substance has been carried out for no more than 4-6 hours
  • That the patient does not vomited

The procedure to be performed is as follows:

  1. Place a balloon endotracheal catheter to protect bronchi and lungs in the comatose patient;
  2. Place the patient on the left side with the head on the bank or end of the lett
  3. The pipe used must be of appropriate diameter
  4. With the help of a Dakin syringe, aspirate the stomach contents. Administer, then, 300 cc of heated water, and perform other washes, each of 300-600 cc of water, until the aspirated liquid is clear. Tap water or specific preparations such as iron salts, opium, household bleach, axalic acid, oral cyanide can be used as the washing liquid.

Source: Roy Goulding’s Vademecum of Poisoning Therapy.

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