« Previous
Next »
Annals of Emergency Medicine
Volume 55, Issue 4
, Pages 364-365
, April 2010
Nasogastric Aspiration: A Useful Tool in Some Patients With Gastrointestinal Bleeding
References
- Comparison of patient and practitioner assessments of pain from commonly performed emergency department procedures. Ann Emerg Med. 1999;33:652–658
- Usefulness and validity of nasogastric aspiration in patients without hematemesis. Ann Emerg Med. 2004;43:525–532
- Complications of nasoenteric feeding tubes. Am J Surg. 1988;155:253–257
- Nebulized lidocaine decreases the discomfort of nasogastric tube insertion: a randomized, double-blind trial. Ann Emerg Med. 2004;44:131–137
- . Lower gastrointestinal bleeding: a review. Surg Endosc. 2007;21:514–520
- . A prospective characterization of upper gastrointestinal hemorrhage presenting with hematochezia. Am J Gastroenterol. 1997;92:231–235
- ED predictors of upper gastrointestinal hemorrhage in patients presenting without hematemesis. Am J Emerg Med. 2006;24:280–285
- . Nasogastric aspirate predicts high-risk endoscopic lesions in patients with acute upper-GI bleeding. Gastrointest Endosc. 2004;59:172–178
- Early indicators of prognosis in upper gastrointestinal hemorrhage. Am J Gastroenterol. 1998;93:336–340
- . Emergency management of bleeding esophageal varices: drugs, bands, or sleep?. Can J Gastroenterol. 2006;20:165–170
- Placement of nasogastric tubes and esophageal stethoscopes in patients with documented esophageal varices. Anesth Analg. 1988;67:283–285
Editor's note: Nasogastric aspiration has traditionally been a part of the initial treatment of patients with gastrointestinal hemorrhage. Recently, authors noting the unpleasantness of the procedure have begun questioning its benefits and have suggested alternative measures. In this installment of Clinical Controversies, “pro” and “con” advocates discuss opposing perspectives and present the available evidence and arguments that must be considered in deciding to initiate or withhold nasogastric aspiration in patients with gastrointestinal hemorrhage.
PII: S0196-0644(09)01647-3
doi: 10.1016/j.annemergmed.2009.10.007
© 2009 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
« Previous
Next »
Annals of Emergency Medicine
Volume 55, Issue 4
, Pages 364-365
, April 2010
