Equipment/ Procedures

Question 1

Sengstaken blakemore tube

• indications
• complications

Answer 1

Indications:

• failure of endoscopic banding of varices
• bridge to surgery

Cx:

• pressure and ischemic necrosis of esophagus
• failure to stop haemorrhage
• perforation

Question 2

Suprapubic catheter

• CI
• Cx

Answer 2

Previous laparoscopic hernia repair 
Any previous midline abdominal surgery
Bladder malignancy 
Uncontrolled coagulopathy
Active infection

Bowel injury, bleeding, vascular injury, failure to enter bladder, infection

Question 3

Contraindications for IDC

Answer 3

Blood at urethral meatus, high riding prostate, presence of a “butterfly” groin haematoma, pelvic #, ongoing UTI