THE EFFICACY OF NASOGASTRIC TUBE IN A LARGE BLOOD CLOT EVACUATION DURING CYSTOSCOPY | Zendy

Caesar Khairul Wallad | Zendy; Jumadi Santoso | Zendy; Kuncoro Adi | Zendy

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THE EFFICACY OF NASOGASTRIC TUBE IN A LARGE BLOOD CLOT EVACUATION DURING CYSTOSCOPY

Author(s) -

Caesar Khairul Wallad,

Jumadi Santoso,

Kuncoro Adi

Publication year - 2016

Publication title -

indonesian journal of urology

Language(s) - English

Resource type - Journals

ISSN - 2355-1402

DOI - 10.32421/juri.v23i2.224

Subject(s) - medicine , suction , surgery , cystoscopy , anesthesia , tube (container) , urinary system , mechanical engineering , engineering

Objective: In this study we introduce using nasogatric tube as an alternative to procure a safe and efficient way to remove large troublesome blood clots during cystoscopy procedure. Material & methods: We prospectively perform blood clot evacuation using nasogastric tube suction (NGT) on 21 patients in Hasan Sadikin GeneralHospital Bandung,within 6 months period. A 24 fr sheath and 16 fr NGT connected to suction unit with a 300 mmhg negative pressure was set. A repetitive back and forth technique was set in motion during the procedure. Cystoscopy time and NGT suction time was documented. Results: All patients were successfully managed with this method without complication during the procedure. The average time for clot removal was 5 minutes 8 seconds with average cystoscopy time was 20 minutes 12 seconds and average estimated blood clots volume was 483 grams. Conclusion: Evacuation using NGT suction is effective, safe and an efficient way to remove a large bothersome clots.

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