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Esophageal Perforation

  • Dx Labs

    • CXR (suggest dx)
    • CT (diagnostic) or endoscopy (diagnostic and therapeutic)
  • Tx

    • IV fluids
    • broad-spec antibiotics
      • piperacillin/tazobactam 3.372 g IV
      • or cephalosporin + anaerobic coverage
        • cefotaxime 2 g IV or ceftriaxone 2 g IV
        • clindamycin 600 mg IV or metronidazole 15 mg/kg IV once then 7.5 mg/kg q6h (max 1 g/dose)
    • surgical consult
    • admit

  • Print | Citations

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