Why would you place a OGT and give zofran in the middle of a surgery?

Published

Hi ...please give me some insight. Why would you place a OGT and suction the stomach and give zofran in the middle of a surgery? Is that like an ASA standard that you do this in the middle of a case? They were a 4/4 TO4 at this time. I had a SRNA tell me this was a standard thing SRNA's did on all patients and I think he is full of it. So ....please educate me.

Why would u give zofran and place a OGT and suction the stomach out in the middle of a case and then remove the OGT? :typing

Up Vote Up Vote ×
Specializes in ICU/Critical Care.

double post.

Up Vote Up Vote ×
Specializes in ICU/Critical Care.

Assuming that the patient hadn't eaten anything 8-12 hours prior to surgery, its easier to place the OGT when the patient is intubated and sedated.

Up Vote Up Vote ×
Specializes in ICU.

I'm just a regular RN, but I know that at least one of our anesthesiologists routinely gives Zofran. '

Don't know about the OGT during OR, but I will say that anybody we intubate in critical care gets an NGT or OGT to ILWS. We start feeds the next day if they aren't getting extubated.

Up Vote Up Vote ×
Specializes in Anesthesia.
Hi ...please give me some insight. Why would you place a OGT and suction the stomach and give zofran in the middle of a surgery? Is that like an ASA standard that you do this in the middle of a case? They were a 4/4 TO4 at this time. I had a SRNA tell me this was a standard thing SRNA's did on all patients and I think he is full of it. So ....please educate me.

Why would u give zofran and place a OGT and suction the stomach out in the middle of a case and then remove the OGT? :typing

Pretty much any abdominal case gets an OGT to decompress the stomach during surgery (less chance it will get in the way during surgery that way). Also, patients with GERD, Diabetes, trauma, hx of PONV or any of several other things that could put them at increased risk for aspiration we will often place an OGT for surgery.

Zofran takes about 30min to have a peak effect and lasts up to 12hrs. Some providers give it for every case, and some anesthesia providers only give when it is indicated. When is the best time to give Zofran is debatable.

Up Vote Up Vote ×
Specializes in CRNA.

Suctioning the stomach and giving zofran will help prevent post-op nausea and vomiting. I do it for patients at high risk.

Up Vote Up Vote ×

Thanks,

that probably makes sense. Pt was probably a high risk. The OGT was removed at the end of the case. I should have clarified that. Pt was npo for 10 hours prior to surgery.....so that makes sense......pt was a high risk and they did this to help prevent aspiration......maybe that is it

Up Vote Up Vote ×
Assuming that the patient hadn't eaten anything 8-12 hours prior to surgery, its easier to place the OGT when the patient is intubated and sedated.

Hi. I am an icu nurse too amd yeah they place them if they are going to leave them intubated but this one wasnt left intubated. So I am simply asking the CRNas why they would have done this bc the pt had been npo prior to surgery I should have clarified that ...thanks

Up Vote Up Vote ×
I'm just a regular RN, but I know that at least one of our anesthesiologists routinely gives Zofran. '

Don't know about the OGT during OR, but I will say that anybody we intubate in critical care gets an NGT or OGT to ILWS. We start feeds the next day if they aren't getting extubated.

Yes...I am an ICU nurse too. And I should have clarified that the pt was not left intubated....and the OGT was removed prior to the end of surgery. So my question was is it routine in every case to place a OGT to suction the stomach when the pt was NPO for 10 hours prior to the procedure......but again....OGT removed prior to showing up in PACU

Up Vote Up Vote ×
Pretty much any abdominal case gets an OGT to decompress the stomach during surgery (less chance it will get in the way during surgery that way). Also, patients with GERD, Diabetes, trauma, hx of PONV or any of several other things that could put them at increased risk for aspiration we will often place an OGT for surgery.

Zofran takes about 30min to have a peak effect and lasts up to 12hrs. Some providers give it for every case, and some anesthesia providers only give when it is indicated. When is the best time to give Zofran is debatable.

Yeah....usually with every abd case we do see that and they actually leave it in place. This OGT was placed and then removed intra op. It was not an abdominal case , cant specify exactly what it was , but not a abdominal case. So what i was asking is if it is normal to do this is the midle of surgery?- every surgery? I think I got my answer though.....only in pts with a h/o PONV/ aspiration risk.

Up Vote Up Vote ×

I drop an OGT for stomach decompression to help out the surgery when indicated and give Zofran for post-op N/V...takes a while to kick in.

SS

Up Vote Up Vote ×
I drop an OGT for stomach decompression to help out the surgery when indicated and give Zofran for post-op N/V...takes a while to kick in.

SS

thanks....but I have a question. If it isnt an abdominal surgery do you stilll do that? Like if it is a knee replacement would you still do that?

Up Vote Up Vote ×
+ Join the Discussion