CPT® Code 91105

Deleted

1. Indications

Gastric intubation and aspiration or lavage are indicated for specific clinical situations where the removal of stomach contents is necessary. The following conditions warrant the performance of this procedure:

• Ingested Poisons This procedure is commonly performed in cases of poisoning, where harmful substances have been ingested, and there is a need to prevent their absorption into the body.
• Intestinal Blockage Gastric intubation may also be indicated for patients experiencing intestinal obstruction, as it helps to decompress the stomach and relieve pressure.

2. Procedure

The procedure of gastric intubation involves several critical steps to ensure its effectiveness and safety. Each step is designed to facilitate the proper insertion of the tube and the subsequent aspiration or lavage of the stomach contents.

• Step 1: Preparation The healthcare provider prepares the necessary equipment, including a gastric tube, suction device, and any required medications or solutions for lavage. The patient is positioned appropriately, typically in a semi-upright position, to facilitate the procedure.
• Step 2: Insertion of the Tube The gastric tube is carefully inserted through the patient's mouth or nose, depending on the chosen route. The provider ensures that the tube is advanced gently to minimize discomfort and avoid injury to the mucosal lining of the esophagus and stomach.
• Step 3: Aspiration or Lavage Once the tube is correctly positioned in the stomach, the provider may either aspirate the stomach contents or perform lavage. In aspiration, the contents are suctioned out to remove ingested substances. In lavage, a saline solution may be introduced through the tube and then suctioned out, effectively washing the stomach.
• Step 4: Monitoring Throughout the procedure, the patient's vital signs and comfort level are closely monitored. The provider assesses the effectiveness of the lavage and ensures that the patient remains stable.
• Step 5: Completion and Documentation After the procedure is completed, the tube is removed, and the patient is monitored for any adverse reactions. Proper documentation of the procedure, including the indications, steps taken, and patient response, is essential for medical records.

3. Post-Procedure

Following gastric intubation and lavage, patients may require monitoring for potential complications, such as aspiration pneumonia or electrolyte imbalances. It is important to observe the patient for any signs of distress or adverse reactions. Depending on the reason for the procedure, further treatment may be necessary, including supportive care or additional interventions. Patients should be educated about the procedure and any follow-up care required to ensure a smooth recovery.