Gastric lavage in children
Gastric lavage in children is carried out with food poisoning, drug and chemical intoxication, as well as with intestinal infections. This manipulation falls into the category of first aid.
In time spent cleaning the stomach of a child can save his life or prevent the development of serious consequences. Therefore, each responsible parent must know the technique of washing, and also have a set of necessary tools.
It should be remembered that washing the stomach is advisable only in the first hours of poisoning. Further, toxic substances are absorbed into the bloodstream and adversely affect the vital organs and body systems.
Indications and contraindications
Indications for gastric lavage are as follows:
- food poisoning;
- chemical or drug intoxication;
- intestinal infections;
- intestinal obstruction;
- abnormal development of the gastrointestinal tract in a newborn child;
- narrowing of the cardiac sphincter of the stomach;
- reduced muscle tone of the stomach.
- esophageal atresia;
- organic narrowing of the esophagus;
- scars after chemical or thermal burns of the esophagus;
- acute bleeding from the upper gastrointestinal tract;
- severe neurological disorders;
- violation of cerebral circulation;
- seizures, epileptic seizure;
- lack of cough reflex;
- unconscious state of the child, without prior intubation of the trachea (insertion of the endotracheal tube into the larynx and trachea to preserve the airway and maintain spontaneous or spontaneous breathing).
What to consider
It should be borne in mind that children of the first year of life must be swaddled before washing the stomach. And children in an unconscious state must first be intubated.
Washing the stomach of a child up to four months is possible only through a nasogastric tube. It can be supplied only by medical professionals in a specialized institution.
It is advisable to clean the stomach with boiled water at room temperature. It is not recommended to use a solution of potassium permanganate, as in this case, it is possible to burn the upper respiratory tract.
You should also consider the amount of fluid injected for each child. So, if a newborn baby needs to enter about 200 milliliters in total, about one liter to one year old child, 3-5 liters to a preschool child, 6-7 liters to a schoolboy, and about 8 liters to a teenager.
Preparation of the child for gastric lavage
Young children pre-set nasogastric tube (small tube diameter is installed in the stomach through the nose), this procedure is performed only in the hospital. If the probe is placed through the nose, then a roller is placed under the shoulders of the child, the head is thrown backwards. For pain relief, one drop of lidocaine is injected into the nasal passage. Before using this drug should make sure that this baby is not allergic to him. Smooth circular movements of the probe is introduced into the nasal passage.
For older children it is advisable to put the probe into the stomach through the mouth, as it has a larger diameter. The first thing is to hold the toilet of the oral cavity. Moistened cotton swab solution furatsilina rubbed mucous membrane of the mouth. The probe must be lubricated with vaseline or glycerol ointment. A mouth gag is inserted between the child's teeth. It is necessary to ask the baby to make swallowing movements. After which the doctor must make sure that the probe is located in the stomach. Using the “Janet” syringe, the doctor injects a small amount of air through the probe, while simultaneously listening to the epigastric region with a stethoscope. With proper manipulation in the area of the stomach, injected air will be heard.
Preparation of the solution
Before rinsing, prepare boiled water at room temperature. We must remember that too cold water can cause muscle spasm of the upper respiratory tract, and hot water will contribute to the expansion of blood vessels, therefore, accelerate the absorption of toxins into the blood.
Washing can also be carried out with a weak salt solution (at the rate of 1 tablespoon per 1 liter of water).
Gastric lavage technique
There are several ways to wash it. Older children can use the "restaurant method", that is, without first setting the probe. In this case, the child drinks about half a liter of water at a time and causes vomiting, pressing a blunt object on the root of the tongue. In total, the child should drink about 5–8 liters of water.
When washing the stomach through the catheter, the liquid is introduced into the installed funnel, then it is lowered below the level of the stomach, seeking the release of wash water. Manipulation is carried out until the washings are transparent. At the end of the procedure, it is necessary to remove the probe, rinse the mouth and throat with warm water.
In order to achieve a positive result, it is necessary to adhere to the algorithm of gastric lavage in children.
After washing, the introduction of adsorbing agents is recommended for binding toxic substances and their rapid elimination from the body. These include:
- Activated carbon.
It should be remembered that with unqualified conduct of cleansing of the stomach may develop severe consequences . Aspiration (penetration into the respiratory tract) with flushing water and blood (with injury to the pharynx, esophagus or stomach), developed edema of the brain or lungs (with the introduction of more fluid) is possible.
Therefore, in severe cases, or if the child is quite small, you should contact the hospital where you will be given specialized help, observing the gastric lavage technique in children, and will also give recommendations on the recovery of the body after the child’s poisoning.