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minnesota tube

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5.4.2 - Sengstaken–Blakemore Tube Insertion
from Section 5.4 - Practical Gastrointestinal System
- By Jonathan Barnes
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 614-616
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Summary

Key Learning Points
1. A Sengstaken–Blakemore tube (SBT) should only be employed as a rescue technique.
2. In practice, the four-lumen Minnesota tube is often encountered, not a classical SBT. However, insertion and aftercare are the same.
3. In most cases, only the gastric balloon will need inflating.
4. Monitor pressures regularly, and be careful to avoid complications.
5. An SBT is only a temporising measure, and having inserted one, it is vital to make a definitive management plan early.