One more

kids · Nov 28, 2002

To delay gastric emptying?

CMERN · Dec 2, 2002

ok... more input you all ...as I was taught and still do the HOB 45 degrees chin to chest..for placement. The L side lying 15 degree trendelenberg sounds good for during procedure to delay gastric emptying... I wanna hear more as "its that time of the season"..and I will be doing even more GL's than I do otherwise...

sincerely interested..

Coldfoot · Dec 2, 2002

I've done both and personally prefer the HOB in semi-Fowlers. One of the ER Doc's I worked with would order the L Lat saying it decreases the chance of aspiration.

ernurse728, LPN · Dec 3, 2002

Why would you lay someone on their side for NGT placement. I am with CMERN. Hob elevated, chin to the chest and swallow, swallow, swallow!

pointhope · Jan 12, 2003

Actually the most current info from the ENA is no gastric lavage. They state that the risks outweigh the benifits. Our large innercity ER no longer lavages based on this and American Medical Assn recommendations which are similar.

Indiana ED RN · Jan 12, 2003

Originally posted by pointhope
Actually the most current info from the ENA is no gastric lavage. They state that the risks outweigh the benifits. Our large innercity ER no longer lavages based on this and American Medical Assn recommendations which are similar.

We don't do it as often as we used to....I have heard what pointhope has written before also.

Here is an article that covers alot of it....

http://www.enw.org/Research-GastricLavage.htm

tony summers · Jan 18, 2003

If we needed to lavage a unconscious patient we'd get the anesthetist down have them tubed and then it doesnot matter which position you have them.

Anesthetists not always happy with this but accept if it needs to be done, they do it they just need to stamp about a little first.

veetach · Feb 20, 2003

we dont lavage anymore either. Charcoal via NG, yes. Lavage, no.