Sengstaken-Blakemore : H15
Balloon tamponade
1 triple-lumen : Sengstaken-Blakemore
2 four-lumen : Minnesota
Step of management
1. ET-tube intubation
(prophylaxis)
2. Inflate gastric balloon + pull back
(to cardia of stomach)
3. If cont. bleeding --> inflate Esophageal balloon
COMPLICATIONS
1. Aspiration pneumonitis : 15%
2. Esophageal rupture
Method
1. 250-400 cc (Air) gastric balloon
2. 500 cc pull
3. NG suction at esophagus
4. Esophageal balloon 40 mmHg