Sengstaken-Blakemore Tube Placement Periprocedural Care

Updated: Sep 06, 2016
  • Author: Richard Treger, MD; Chief Editor: Vikram Kate, MBBS, MS, PhD, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS  more...
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Periprocedural Care

Equipment

Equipment used for placement of a Sengstaken-Blakemore tube includes the following:

  • Gastroesophageal balloon tamponade tube
  • Y-tube connector or similar adapter, if not already part of the tamponade balloon ports (see the first and second images below)
  • Traction device or setup (see the third image below)
  • Manual manometer or sphygmomanometer (see the fourth image below)
  • Vacuum suction device with suction tubing and connectors (see the fifth image below)
  • Tube clamps (4)
  • Large (60 mL) irrigating syringe (catheter tip)
  • Soft restraints
  • Water-soluble lubricating jelly
  • Scissors for emergency balloon decompression
Y-tube connector. Image courtesy of Richard Treger Y-tube connector. Image courtesy of Richard Treger, MD.
Lopez valve. Image courtesy of Richard Treger, MD. Lopez valve. Image courtesy of Richard Treger, MD.
Pulley device for traction. Image courtesy of Rich Pulley device for traction. Image courtesy of Richard Treger, MD and Stanley Dea, MD.
Sphygmomanometer. Image courtesy of Richard Treger Sphygmomanometer. Image courtesy of Richard Treger, MD.
Vacuum suction device. Image courtesy of Richard T Vacuum suction device. Image courtesy of Richard Treger, MD.
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Patient Preparation

Topical anesthetic (spray and jelly) is used for the oropharynx. (For more information, see Anesthesia, Topical.) Intubation and sedation are indicated for most patients.

Elevate the head of the bed to 45°, and position the patient on the bed. The left lateral decubitus position is an acceptable alternative.

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