Transected nasogastric tube: a rare complication of nasogastric feeding

2018 ◽  
Vol 14 (1) ◽  
pp. 179-180
Author(s):  
Thomas Gerard Cotter ◽  
Matthew William Stier ◽  
Vijaya Lakshmi Rao
2016 ◽  
Vol 2016 ◽  
pp. 1-2
Author(s):  
Lukas P. Mileder ◽  
Martin Müller ◽  
Friedrich Reiterer ◽  
Alexander Pilhatsch ◽  
Barbara Gürtl-Lackner ◽  
...  

Preterm infants are highly susceptible to injuries following necessary and often life-saving medical interventions. Esophageal perforation is a rare, yet serious complication that can be caused by aerodigestive tract suction, endotracheal intubation, or nasogastric tube placement. We present the case of a neonate born at 23 weeks plus three days of gestation with chest radiography showing malposition of the nasogastric feeding tube and massive right-sided effusion of Iopamidol in the pleural cavity due to esophageal perforation. In addition, the article summarizes common signs and symptoms associated with esophageal perforation in infants and discusses diagnostic approaches.


Author(s):  
Muzna Iftikhar ◽  
Shahbaz Bakhat Kayani ◽  
Atiq Ur Rehman

Nasogastric intubation is a frequent practice in clinical care used for administering enteral feed, gastric decompression, and lavage. The knotting of a nasogastric tube is a rare complication with only a few incidences of narrow bore nasogastric tube knotting and even fewer wide-bore tubes reported [1-4]. Unrecognized knotting of the nasogastric tube with inadvertent removal may cause catastrophic consequences like epistaxis, respiratory distress’ severe laryngeal injury, and tracheoesophageal fistula [5-7]. Tubes have been found to be kinked and less commonly knotted. Cases of knotting have previously been identified during insertion or blockage of the tubes post-insertion. Ours is a case of nasogastric tube knotting identified in a young patient with a working tube that knotted over itself during removal.


2020 ◽  
Vol 57 ◽  
pp. 102786 ◽  
Author(s):  
Jens Walldorf ◽  
Patrick Michl ◽  
Sebastian Krug

2013 ◽  
Vol 29 (6) ◽  
pp. 690-690 ◽  
Author(s):  
C-W. Yang ◽  
H-H. Yen ◽  
W-W. Su ◽  
M-S. Soon

Author(s):  
Emily Keyte ◽  
Gillian Roe ◽  
Annmarie Jeanes ◽  
Jeannette K. Kraft

Abstract Background Despite the publication of a national patient safety alert in 2016, inadvertent feeding through misplaced nasogastric tubes continues to occur, either through failure to review the radiograph, misinterpretation of it, or failure to communicate the results. Objective The objectives were to determine whether training in a new pathway introduced to avoid these “never events” was followed and whether radiographer comments and prompt communication of results could reduce risk and improve patient safety in relation to nasogastric tube placement in children. Materials and methods Following radiographer training in interpretation of nasogastric tube position and use of a commenting proforma and communication pathway, we reviewed all radiographs obtained to check nasogastric tubes performed over a 13-month period in children 0–16 years of age. Then we assessed accuracy of the radiographer comments, adherence to the pathway, and any practice change in children with misplaced nasogastric tubes. Results We reviewed 282 nasogastric tube check radiographs. For 262 radiographs (92.9%) the pathway was followed correctly. Of the total 282 radiographs, 240 (85%) were immediately reported using the standardised commenting proforma, and 235 radiographer comments were affirmed by the radiologist (97% accuracy, confidence interval 0.95–0.99). Of the immediately reported radiographs, 213 (88.8%) nasogastric tubes were considered to be safe for use. Four (1.7%) of the immediately reported nasogastric tubes were misplaced in a bronchus, and the report communicated to the clinical team resulted in removal or re-siting of the tubes. Conclusion Nasogastric tube check radiographs in children can be reported accurately by radiographers trained in their interpretation and the results promptly communicated to clinical staff, improving safety in relation to nasogastric tube placement in children.


2008 ◽  
Vol 1 ◽  
pp. CMENT.S746 ◽  
Author(s):  
NA Khan ◽  
G Watson ◽  
E Sivayoham ◽  
DJ Willatt

We present a case of 82 years old female with two-week history of neck swelling, odynophagia, hoarseness and cough. There was a tender, fluctuant swelling below the mandible on right side. An urgent C.T scan showed it to be a pyolaryngocele. High dose intra venous antibiotic, analgesia and nasogastric feeding resolved the acute infective episode. The residual laryngocele was treated by an excision via an external approach. A pyolaryngocele is a rare complication of laryngocele that becomes secondarily infected. It can cause feeding and respiratory compromise because of its compression symptoms. A CT is helpful for prompt diagnosis and for planning definitive surgical management. The aim of this paper is to highlight the need to recognise and then treat these cases aggressively. The best treatment option is to remove the laryngocele in-toto to prevent recurrence.


2006 ◽  
Vol 36 (10) ◽  
pp. 1096-1098 ◽  
Author(s):  
Emad El-Din Mahmoud Hanafy ◽  
Samuel D. Ashebu ◽  
Niran Al Naqeeb ◽  
Harini Bopaya Nanda

2014 ◽  
Vol 26 (5) ◽  
pp. 680-680 ◽  
Author(s):  
Mitsuo Tashiro ◽  
Kosaku Matsuda ◽  
Ryosuke Ueda

2018 ◽  
Vol 23 (1) ◽  
pp. 66
Author(s):  
Gheshlaghi Farzad ◽  
Nastaran Eizadi ◽  
Shayan Gheshlaghi

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