Orogastric tube placement during anesthesia is common. Rarely, serious complications occur, including tracheal or bronchial placement and pneumothorax, esophageal perforation, intravascular placement and hemorrhage, and entanglement with other equipment including endotracheal tubes. 1 Anesthesia providers need to be cognizant of these complications in order to ensure rapid detection and correction of incorrectly placed or entangled orogastric tubes. The orogastric tube shown was blindly inserted after anesthetic induction and endotracheal intubation, and gastric fluid was suctioned. Upon attempted removal,
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