{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:14:00Z","timestamp":1790183640442,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010230","name":"Queensland Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010230","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Sengstaken\u2013Blakemore tubes (SBTs) are rarely used in Australia, because of improved access to endoscopy and interventional radiology, as well as overall lower rate of variceal haemorrhage from improvements in primary prophylaxis. SBT's use is associated with significant rate of serious complications, such as oesophageal perforation, mucosal necrosis, aspiration pneumonia and respiratory compromise secondary to external compression of the trachea. As such, SBT is currently only recommended for use in life\u2010threatening variceal haemorrhage, where endoscopic, embolization and pharmacologic therapy have been unsuccessful or are unavailable. No data exist for its use in Australasia but one area that it could be indicated is for hemodynamically unstable patients in remote setting, where long transfer times often means delayed access to endoscopy. We present a case of SBT insertion in retrieval medicine and discuss placement in the management of an unstable upper gastrointestinal bleed, complicating factors such as lack of radiology to confirm balloon position, the impact of flight altitude on balloon pressures, the maintenance of traction in flight and logistics of long flight times across the state of Queensland. This is the first case report of SBT use in the Australian aeromedical environment. It is also the first one where SBT has been used for duodenal bleeding, although the source of bleeding was unknown prior to insertion.<\/jats:p>","DOI":"10.1111\/1742-6723.14007","type":"journal-article","created":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T02:57:37Z","timestamp":1653447457000},"page":"648-650","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["<scp>Sengstaken\u2013Blakemore<\/scp> tube in critical upper gastrointestinal bleeding: Implications for aeromedical retrieval"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4275-2588","authenticated-orcid":false,"given":"Akmez","family":"Latona","sequence":"first","affiliation":[{"name":"LifeFlight Retrieval Medicine  Toowoomba Queensland Australia"},{"name":"Department of Emergency Medicine, Ipswich General Hospital  Ipswich Queensland Australia"},{"name":"Department of Emergency Medicine, Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Che\u2010Yung","family":"Chao","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Bartholdy","sequence":"additional","affiliation":[{"name":"LifeFlight Retrieval Medicine  Toowoomba Queensland Australia"},{"name":"The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Jarvis","sequence":"additional","affiliation":[{"name":"LifeFlight Retrieval Medicine  Toowoomba Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,24]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"831","volume-title":"Roberts & Hedges\u2019 Clinical Procedures in Emergency Medicine","author":"Roberts JR","year":"2014"},{"key":"e_1_2_5_3_1","first-page":"195","article-title":"The Sengstaken\u2010Blakemore tube: Uses and abuses","volume":"49","author":"Seet E","year":"2008","journal-title":"Singapore Med. J."},{"key":"e_1_2_5_4_1","first-page":"1","article-title":"Oesophagogastric temponade tube","volume":"28","author":"Cowan MK","year":"2011","journal-title":"Emerg. Med. Retr. Serv."},{"key":"e_1_2_5_5_1","unstructured":"Federal Register of Legislation.Part 91 (General Operating and Flight Rules) Manual of Standards 2020. Available from URL:https:\/\/www.legislation.gov.au\/Details\/F2020L01514"},{"key":"e_1_2_5_6_1","unstructured":"Civil Aviation Safety Authority.Civil Aviation Safety Amendment (Part 91) Regulations 2018 (F2018L01783). Available from URL:http:\/\/classic.austlii.edu.au\/au\/legis\/cth\/num_reg_es\/casa91r2018201801783480.html"},{"key":"e_1_2_5_7_1","first-page":"17","volume-title":"Manual Of Aviation Meteorology","author":"Australia Bureau of Meteorology","year":"2003"},{"key":"e_1_2_5_8_1","first-page":"2016","article-title":"Alternative method of tractioning the Sengstaken\u2010Blakemore tube","volume":"2017","author":"Murphy EP","year":"2017","journal-title":"BMJ Case Rep."},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/gastro\/gou023"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.14007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.14007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.14007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:44:56Z","timestamp":1692837896000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.14007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,24]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1111\/1742-6723.14007"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.14007","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,24]]},"assertion":[{"value":"2021-12-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}