Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series 17


Answer



1)Minnesota tube or modified Sengstenken Blackmore tube.
** Original Sengstenken Blackmore tube only has three lumen (no esophageal aspiration)


2)To control esophageal variceal bleeding.


3)Ischemic necrosis of esophageal mucosa, aspiration pneumonia.


4)How to inflate the balloon


Esophageal balloon: Connect to the BP set and inflate with pressure 30-40mmHg


Gastric balloon: Inflate with 200 ml water for injection (give approximately 60 mmHg pressure)




Notes
-Deflate esophageal balloon 8 minutes every 5 hours (reduce risk for esophageal necrosis)
-Reduce pressure in esophageal balloon to 25mmHg by 12 hours
-Do not left the tube for more than 24 hours.


Where to find the tube?
Usually it is being kept in refrigerator so that it will become more rigid and easily to introduced.


Function of each lumen
Esophageal balloon: inflate esophageal balloon

Esophageal aspiration: aspirate saliva and prevent aspiration pneumonia

Gastric balloon: inflate gastric balloon

Gastric aspiration: decompress the stomach content