A Complication of Nasogastric Intubation

Gregory, Jay; Turner, Patricia A.; Reynolds, Arden F.

doi:10.1097/00005373-197812000-00010

Cited by 42 publications

(10 citation statements)

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“…As in our case, the cribriform plate was the insertion site of the nasogastric tube in 18 of the 26 cases in the literature [1,2,4,6,7,8,9,10,12,14,18,19,20,21,22,23]. The most frequently encountered site for misdirection of a nasogastric tube into the cranium is the cribriform plate in patients with craniofacial trauma [1,2,4,6,7,10,12,14,18,19,20,22]. Another insertion point is the sphenoid sinus [11,13,15,16].…”

Section: Discussionmentioning

confidence: 50%

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Inadvertent insertion of a nasogastric tube in a patient with head trauma

Arslantaş¹,

Durmaz²,

Coşan³

et al. 2001

Child's Nervous System

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This is a report of a 3-year-old boy with intracranial penetration of a nasogastric tube causing brain damage in the left frontal lobe. A computed tomography (CT) showed passage of the nasogastric tube via a fracture of the cribriform plate into the intracranial cavity. The tube was manually removed under antibiotic prophylaxis. The patient then underwent dural repair for rinorrhoea and was discharged in good health.

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Section: Discussionmentioning

confidence: 50%

“…However, intracranial displacement of nasogastric tubes is a rare though serious complication in patients with complex craniofacial trauma [1,2,3,4,6,7,8,10,12,14,15,18,19,20,22]. To the best of our knowledge, 25 cases of such occurrences have been reported in the literature, but the present case is the first in Turkey (Table 1).…”

Section: Discussionmentioning

confidence: 87%

Inadvertent insertion of a nasogastric tube in a patient with head trauma

Arslantaş¹,

Durmaz²,

Coşan³

et al. 2001

Child's Nervous System

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“…Most of these were in trauma patients with known or suspected basal skull fracture. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] There were three reports of intracranial NGT placement in patients with pituitary tumours, [19][20][21] one in a preterm infant [22], and two in unconscious adult patients without significant mechanical trauma. [23,24] Rahimi-Movaghar et al [12] described the insertion of a nasogastric tube in a 34 year old man who had been injured in a fall from height.…”

Section: Resultsmentioning

confidence: 99%

“…Gregory et al [7] reported a 22 year old man who was injured by an exploding lorry tyre. He had fractures of the right orbit, right frontal bone, nasal bones, and left maxillary sinus.…”

Section: Survivorsmentioning

confidence: 99%

Use of Nasogastric Tubes in Trauma Patients – A Review

Spurrier¹,

Johnston

2008

J R Army Med Corps

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Traditionally, suspected basal skull fractures have been considered a relative contra-indication to inserting a nasogastric tube (NGT). In patients with basal skull fractures the Advanced Trauma Life Support protocol recommends that an orogastric tube (OGT) be inserted rather than a nasogastric tube (NGT). This article reviews the available literature. We conclude that in patients with suspected or confirmed basal skull fractures numerous case reports confirm that nasogastric tube insertion may lead to intracranial placement which, although the causal relationship is unclear, is associated with patient death.

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“…Risk factors include recent nasal fracture, basal skull fractures, patients with compromised airways, heavily sedated/ confused patients, elderly and patients with neurological impairment that decreases their swallow/gag reflex [2,[4][5][6]. The patient from this case report had two of these risk factors, elderly and severe vascular dementia which in turn is a risk factor for impaired gag reflex [7].…”

Section: Discussionmentioning

confidence: 99%

Down the Wrong Way: An Important Complication of Nasogastric Tube Placement

Moorthy

2014

J Med Cases

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Placement of a nasogastric tube is a very common procedure carried out by doctors and nurses on both medical and surgical wards. Indications include for feeding purpose to meet the patient's nutrition requirement and a therapeutic use to decompress a distended bowl in an acute small/large bowl obstruction. Insertion of a nasogastric tube into the pulmonary tree is a well-recognized complication that can possibly cause a pneumothorax or pulmonary aspiration if feeding was commenced without checking its position before use. This case report describes pneumothorax in a 65-year-old patient following insertion of a nasogastric tube. It also highlights the management of pneumothorax causes by intra-pleural insertion of a nasogastric tube and patients who are susceptible to nasogastric tube complications.

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A Complication of Nasogastric Intubation

Cited by 42 publications

References 0 publications

Inadvertent insertion of a nasogastric tube in a patient with head trauma

Inadvertent insertion of a nasogastric tube in a patient with head trauma

Use of Nasogastric Tubes in Trauma Patients – A Review

Down the Wrong Way: An Important Complication of Nasogastric Tube Placement

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