GASTRIC INJURIES IN PATIENTS WITH ACUTE POISONINGS
Gastric lavage in patients with acute poisoning is an important component of the complex of detoxification activities at the pre-hospital stage of medical care. Non-compliance with the rules of gastric lavage may result in iatrogenic complications, among which 4.9% are gastric injuries by the probe....
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2017-06-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/364 |
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| author | L. F. Tveritneva V. A. Matkevich I. Y. Selina Y. S. Teterin T. V. Klokova A. V. Mironov |
| author_facet | L. F. Tveritneva V. A. Matkevich I. Y. Selina Y. S. Teterin T. V. Klokova A. V. Mironov |
| author_sort | L. F. Tveritneva |
| collection | DOAJ |
| description | Gastric lavage in patients with acute poisoning is an important component of the complex of detoxification activities at the pre-hospital stage of medical care. Non-compliance with the rules of gastric lavage may result in iatrogenic complications, among which 4.9% are gastric injuries by the probe. The analysis of treatment of 8,926 patients poisoned with non-cauterizing substances was performed. In 44 of them (0.5%), there were signs of gastroduodenal bleeding, caused by trauma of the gastric mucosa and in 12 patients (0.13%), there was perforation of a gastric wall by a probe. The main method of endoscopic hemostasis in patients with bleeding was infiltration hemostasis with epinephrine solution, with the exception of 5 patients with bleeding of type F1a and F2a, where the combined hemostasis with argon-plasma coagulation was performed. All 12 patients with gastric perforation were urgently operated. Prevention of gastric trauma during lavage at the prehospital stage is the strict implementation of the procedure developed by the staff of the Center for Treatment of Acute Poisoning at the N.V. Sklifosovsky Research Institute for Emergency Medicine. |
| format | Article |
| id | doaj-art-7a686350fadf4ad6b3e3be9c0eec87b5 |
| institution | Matheson Library |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2017-06-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-7a686350fadf4ad6b3e3be9c0eec87b52025-08-04T10:30:20ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172017-06-016214915310.23934/2223-9022-2017-6-2-149-153354GASTRIC INJURIES IN PATIENTS WITH ACUTE POISONINGSL. F. Tveritneva0V. A. Matkevich1I. Y. Selina2Y. S. Teterin3T. V. Klokova4A. V. Mironov5N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health DepartmentГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»Gastric lavage in patients with acute poisoning is an important component of the complex of detoxification activities at the pre-hospital stage of medical care. Non-compliance with the rules of gastric lavage may result in iatrogenic complications, among which 4.9% are gastric injuries by the probe. The analysis of treatment of 8,926 patients poisoned with non-cauterizing substances was performed. In 44 of them (0.5%), there were signs of gastroduodenal bleeding, caused by trauma of the gastric mucosa and in 12 patients (0.13%), there was perforation of a gastric wall by a probe. The main method of endoscopic hemostasis in patients with bleeding was infiltration hemostasis with epinephrine solution, with the exception of 5 patients with bleeding of type F1a and F2a, where the combined hemostasis with argon-plasma coagulation was performed. All 12 patients with gastric perforation were urgently operated. Prevention of gastric trauma during lavage at the prehospital stage is the strict implementation of the procedure developed by the staff of the Center for Treatment of Acute Poisoning at the N.V. Sklifosovsky Research Institute for Emergency Medicine.https://www.jnmp.ru/jour/article/view/364poisoning with non-cauterizing substancesgastric lavagegastric injury with a probe |
| spellingShingle | L. F. Tveritneva V. A. Matkevich I. Y. Selina Y. S. Teterin T. V. Klokova A. V. Mironov GASTRIC INJURIES IN PATIENTS WITH ACUTE POISONINGS Неотложная медицинская помощь poisoning with non-cauterizing substances gastric lavage gastric injury with a probe |
| title | GASTRIC INJURIES IN PATIENTS WITH ACUTE POISONINGS |
| title_full | GASTRIC INJURIES IN PATIENTS WITH ACUTE POISONINGS |
| title_fullStr | GASTRIC INJURIES IN PATIENTS WITH ACUTE POISONINGS |
| title_full_unstemmed | GASTRIC INJURIES IN PATIENTS WITH ACUTE POISONINGS |
| title_short | GASTRIC INJURIES IN PATIENTS WITH ACUTE POISONINGS |
| title_sort | gastric injuries in patients with acute poisonings |
| topic | poisoning with non-cauterizing substances gastric lavage gastric injury with a probe |
| url | https://www.jnmp.ru/jour/article/view/364 |
| work_keys_str_mv | AT lftveritneva gastricinjuriesinpatientswithacutepoisonings AT vamatkevich gastricinjuriesinpatientswithacutepoisonings AT iyselina gastricinjuriesinpatientswithacutepoisonings AT ysteterin gastricinjuriesinpatientswithacutepoisonings AT tvklokova gastricinjuriesinpatientswithacutepoisonings AT avmironov gastricinjuriesinpatientswithacutepoisonings |