Inadvertent placement of a nasogastric tube following traumatic nasal tube intubation

2021 ◽  
Vol 14 (12) ◽  
pp. e247696
Author(s):  
Timothy Manzie ◽  
Philip Chia ◽  
Sivakumar Gananadha ◽  
Alexander Bobinskas

Adequate nutrition is necessary in head and neck surgery. Enteral feeding via a nasogastric tube is often required due to the altered anatomy and to allow sufficient intraoral healing. Insertion of a nasogastric tube is commonly performed without complication and confirmation of its position by a number of different methods. Incorrect positioning can cause significant morbidity with associated mortality. This case report describes the inadvertent placement of a nasogastric tube in a patient with a mandibular squamous cell carcinoma, into the abdominal cavity following a failed traumatic nasal tube intubation. Chest radiography and auscultation failed to identify the abnormal position with subsequent commencement of feeds for a number of days. Following a laporotomy and insertion of abdominal drains, the patient recovered and was discharged from hospital. To prevent recurrence, it is suggested that direct laryngoscopy or direct visualisation of the upper aspect be performed.

2021 ◽  
pp. 20210049
Author(s):  
Hiba Eldigair ◽  
Ruhaid Khurram ◽  
Jose Bennell ◽  
Naheed Mir

A nasogastric tube is commonly used as a method of enteral feeding or gastric decompression in clinical practice and its insertion is occasionally associated with local complications. In this case report, we present an extremely rare complication of a comminuted nasogastric tube fracture in a 54-year-old male patient receiving enteral feeding in hospital secondary to a diagnosis of haemophagocytic lymphohistiocytosis.


2013 ◽  
Vol 49 (6) ◽  
pp. e1-e6 ◽  
Author(s):  
Juliet Gladden

This case report presents two cases of inadvertent intrapleural nasogastric tube (NGT) misplacement with consequent creation of a bronchopleural fistula and the development of an iatrogenic pneumothorax in dogs. Due to the simplicity and relative ease of NGT placement and the lack of reported life-threatening complications in the veterinary literature, the serious risks associated with this procedure are often overlooked. Although pulmonary complications with NGT misplacement have been previously reported in the human literature, serious and potentially fatal complications have not been currently described in veterinary patients. Both of the cases described herein were medically managed with successful outcomes; however, one case was associated with significant morbidity.


1994 ◽  
Vol 30 (2) ◽  
pp. 309
Author(s):  
Sin Young Cho ◽  
Chul Soon Choi ◽  
Ell Seong Lee ◽  
Hyeun Cha Cho ◽  
Eun Young Kwack ◽  
...  

2015 ◽  
Vol 19 (3) ◽  
pp. 162-164
Author(s):  
Serdar Özdemir ◽  
Tuba Cimilli Öztürk ◽  
Oktay Öcal ◽  
Yasin Metiner ◽  
Özge Ecmel Onur

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