19 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... PRINCIPLES OF MANAGEMENT ... Bleed Management ... #Varices #Bleeding ... #algorithm #VARICEALB
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... Ulcer Disease • Variceal ... Bleeding • Mallory
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... until endoscopy ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... Pre-Endoscopy Management ... • Rescope if bleed ... #NonVariceal #Upper
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... the mid or upper ... banded the one that bled ... #Tricks #management
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... Unstable (Rule out upper ... GI bleed) vs Stable ... LGIB #GIBleed #management
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Upper Gastronintestinal ... Bleed - Differential ... Diagnosis Algorithm ... - Exclude bleeding ... Gastro-esophageal varices
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
-Used to stop bleeding ... in Upper GI bleed ... to esophageal varices ... the esophageal varices ... #Management #MinnesotaTube
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... NonVariceal #UpperGI #Bleeding ... #diagnosis #management ... #algorithm
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... GI Bleeds Minnesota ... particular esophageal varices ... and esophageal bleeding ... #GIBleed #management