Thoracic complications of nasogastric tube: review of safe practice

Pillai, Jain Bhaskara; Vegas, Annette; Brister, Stephanie J.

doi:10.1510/icvts.2005.109488

Cited by 150 publications

(114 citation statements)

References 17 publications

Supporting

Mentioning

113

Contrasting

Unclassified

Order By: Relevance

“…Bronchial placement (leading to atelectasis, pneumonia, lung abscess) bronchial perforation, pleural cavity penetration, intravascular penetration, knotting and impaction in the nasopharynx, double backing, kinking, tube breakage, enteric perforation and intracranial entry are some of them. 6 In this case the patient had a rare complication, OGT knotting in the stomach. Once we tried to pull it out the knot had tightened and got stuck at the LMA.…”

Section: Case Historymentioning

confidence: 85%

New complication of LMA supreme and orogastric tube (OGT)

Amaraweera¹,

Ashfaque²

2017

Sri Lankan J Anaesthesiol

View full text Add to dashboard Cite

show abstract

Section: Case Historymentioning

confidence: 85%

New complication of LMA supreme and orogastric tube (OGT)

Amaraweera¹,

Ashfaque²

2017

Sri Lankan J Anaesthesiol

View full text Add to dashboard Cite

show abstract

“…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%

“…At 30 -35 cm advancement of the tube, any abnormal curvature of the nasogastric tube can be identified, thus halting further advancement of the tube. If the tube is centered, it is highly likely to be positioned in the esophagus and can be further advanced for optimum length with repeat chest X-ray to confirm its position [4,5]. Another method describes a simple bedside test.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Moorthy

2014

J Med Cases

View full text Add to dashboard Cite

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.

show abstract

“…The improper placement of GT is a rarely seen entity (0.5-11%) and could lead to severe complications [1,2]. Tracheobronchial misplacement can also lead to aspiration pneumonia, asphyxia or even deaths [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

The evaluation of efficacy of three different ultrasonography methods for verification of gastric tube placement in intensive care unit patients

Gök¹

2017

Med-Science

View full text Add to dashboard Cite

Gastric tube (GT) placement is a routine procedure in critically ill patients. Improper placement of GT could lead to severe complications. Radiography remains as the gold standard test to confirm tube position. The study aim is to estimate diagnostic accuracy of three different ultrasonography (USG) methods to verify GT placement in intensive care units (ICU). Twenty-five mechanically ventilated patients were included in this prospective and observational study. All real time US examinations were performed by an intensivist in three steps: sonography ofneck for visualizing esophagus and upper abdominal quadrant for visualizing stomach, and visualisation of dynamic fogging during water and air insufflations in gastric area. Finally, gastric placement of GT was confirmed with abdominal radiography. USG visualized GT in esophagus in 24 (96 %) patients. GT was directly visualized in stomach in 16 (64%) patients and dynamic fogging occurred in 20 (80 %) in the first attempt and in 23 (92 %) patients after tube removal. Because gastric tube was not seen in stomach in nine cases, dynamic fogging allowed to confirm intragastric position in seven cases. In two cases, no dynamic fogging was observed, and radiography confirmedtube malposition in esophagus. Entire sonographic procedure took 7.24±2.58 minutes. Visualization of the esophagus and dynamic fogging improves the diagnostic accuracy of USG in verifying GT position. Confirming correct GT placement by USG has the potential to reduce X-ray usage and save time. However, X-ray remains the gold standard in cases in which USG cannot verify placement of the GT.

show abstract

Thoracic complications of nasogastric tube: review of safe practice

Abstract: We provide summary points to guide the clinician in everyday practice.

Cited by 150 publications

References 17 publications

New complication of LMA supreme and orogastric tube (OGT)

New complication of LMA supreme and orogastric tube (OGT)

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

The evaluation of efficacy of three different ultrasonography methods for verification of gastric tube placement in intensive care unit patients

Contact Info

Product

Resources

About