A case of a ‘lost’ nasogastric tube

Sankar, Vinoth; Shakeel, Muhammad; Keh, Siew Min; Ah‐See, Kim

doi:10.1017/s0022215112002447

Cited by 6 publications

(6 citation statements)

References 21 publications

(36 reference statements)

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“…For this reason the patients and families should be counselled before the procedure thoroughly to ensure they understand this additional risk. The method of removal of the RIG in this case by a patient cutting the tube has been observed in other patient case studies in relation to NG tubes [9] suggesting that closer monitoring of the environment of vulnerable patients…”

Section: Discussionsupporting

confidence: 61%

Dislodged Gastrostomy Tube in a Delirious Patient with Advanced Laryngeal Cancer

Mitchell¹,

Asimakopoulos²,

Shakeel³

et al. 2021

Otolaryngol Res Rev

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Introduction: Delirium is common in hospitalised patients and is often multifactorial. Patients with advanced oropharyngeal malignancy are at particular risk because of compromised airway contributing to hypoxia.Objective: To present a case of a patient who removed her radiologically inserted gastrostomy tube by pulling it out highlighting the importance of observation and monitoring of mental state in patients at high risk of developing delirium.Case Report: A 71-year-old female patient undergoing radiotherapy for head and neck cancer received a radiologically inserted gastrostomy (RIG) tube due to dysphagia and high risk of aspiration. Previous to this, it was necessary to have a radiologically guided nasogastric tube (NGT) inserted due to tumour related anatomical distortion in the laryngopharynx. This was pulled out or fell out on multiple occasions. On the first postoperative day after RIG tube insertion, nursing staff found the patient in her room with the tubing cut and RIG removed including the bumper. Conclusion:This case highlights the issues surrounding fluctuation of cognition in elderly cancer patients and how this could potentially lead to serious complications after invasive procedures. Patients should be closely monitored after undergoing such procedures and signs of delirium identified early to prevent possible significant morbidity or mortality.

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Section: Discussionsupporting

confidence: 61%

Dislodged Gastrostomy Tube in a Delirious Patient with Advanced Laryngeal Cancer

Mitchell¹,

Asimakopoulos²,

Shakeel³

et al. 2021

Otolaryngol Res Rev

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“…20 Studies that have addressed RFB consist predominately of case reports and case series. 6,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] The main hindrance in conducting larger scale studies is the lack of considerable aggregate data, due in part to the natural history of RFB in which an unknown number of events can go unnoticed. 8,17 Additionally, some investigators have proposed that hospitals are inclined toward under-reporting such incidents because of their critical nature.…”

mentioning

confidence: 99%

Retained Foreign Bodies: Risk and Outcomes at the National Level

Al‐Qurayshi

Hauch

Slakey

et al. 2015

Journal of the American College of Surgeons

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“…On questioning our patient could not remember putting the feeding tube cap on his tracheostomy tube so the exact circumstances are unknown. It is known that even conscious patients cannot always be relied on for an accurate foreign body history [7]. The fact that this event is a possible occurrence needs addressing.…”

Section: Case Presentationmentioning

confidence: 99%