Down a wrong path – A nasogastric tube in lung

2021 ◽  
pp. 004947552097419
Author(s):  
Supreet Kaur ◽  
Parvez Mohi Ud Din Dar ◽  
Pratyusha Priyadarshini
Keyword(s):  
Case Report ◽  
Nasogastric Tube ◽  
Chest Radiography ◽  
Direct Visualization ◽  
Awake Patient ◽  
Tube Insertion ◽  
Gag Reflex ◽  
The Right ◽  
Nasogastric Tube Insertion ◽  
Ventilated Patients

Nasogastric tube insertion is a common bedside procedure. In an awake patient, unexpected passage into airway is easily noticeable due to the gag reflex; however, in the case of ventilated patients false cannulation is liable to be missed, unless insertion is carried out under direct visualization. We present a case of passage of nasogastric tube into peripheral bronchiole of the right lung, which was initially missed on chest radiography. This case report highlights the fallacy of relying on a chest radiograph.

scholarly journals Nasogastric tube insertion difficulty in a patient with a large goiter: A case report

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092787
Author(s):  
Ana Cho ◽  
Seokhyung Hong ◽  
Jinyoung So
Keyword(s):  
Endotracheal Intubation ◽  
Nasogastric Tube ◽  
Cricoid Cartilage ◽  
Cystic Mass ◽  
Tube Insertion ◽  
Nasogastric Tubes ◽  
Large Goiter ◽  
Thyroid Lobectomy ◽  
The Right ◽  
Nasogastric Tube Insertion

Airway management under anesthesia is given special attention in patients who have large goiters. Nasogastric tube insertion may be difficult in intubated patients with large goiters. Several methods have been proposed to facilitate the insertion of nasogastric tubes in patients with endotracheal intubation; however, a standard insertion method has not been established. A 33-year-old man was admitted to our otolaryngology department for right thyroid lobectomy to remove a larger goiter. A thyroid computed tomography scan revealed a huge cystic mass with tracheal displacement. Although difficult intubation was expected, endotracheal intubation was performed successfully. An anesthesiologist attempted nasogastric tube insertion via the right nostril; however, this was not successful. Next, an angiography catheter was placed in a nasogastric tube, and the nasogastric tube was gently inserted with the patient’s neck in mild flexion. This attempt also failed. Finally, the nasogastric tube was gently inserted via anterior displacement of the cricoid cartilage. The nasogastric tube advanced up to 60 cm. Surgery was performed, and the patient was discharged with no complications on postoperative day 8.

scholarly journals Down the wrong road – a case report of inadvertent nasogastric tube insertion leading to lung laceration and important pearls to avoid complications

2016 ◽  
Vol 2016 (2) ◽  
pp. 12 ◽  
Author(s):  
Syed Adnan Mohiuddin ◽  
Saad Al Kaabi ◽  
Tarik Butt ◽  
Rafie Yakoob ◽  
Maneesh Khanna
Keyword(s):  
Case Report ◽  
Nasogastric Tube ◽  
Tube Insertion ◽  
Nasogastric Tube Insertion

Iatrogenic traumatic pontine injury from nasogastric tube insertion in a patient with an occult clival chordoma

2021 ◽  
Author(s):  
Christopher G. Shafik ◽  
Madeleine L. Buck ◽  
Alfredo J. Faria Freitas ◽  
Benjamin J. Dixon ◽  
Rana Dhillon
Keyword(s):  
Nasogastric Tube ◽  
Tube Insertion ◽  
Clival Chordoma ◽  
Nasogastric Tube Insertion

Nasogastric Tube Insertion in intubated patients with the guide of Wire rope: A Prospective Randomized Controlled Study

2021 ◽  
Author(s):  
Hamid Reza Sharifnia ◽  
Sharareh Jahangiri ◽  
Fazeleh Majidi ◽  
Reza Shariat Moharari ◽  
Shaghayegh Shahmirzaei ◽  
...  
Keyword(s):  
Nasogastric Tube ◽  
Wire Rope ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Tube Insertion ◽  
Randomized Controlled ◽  
Nasogastric Tube Insertion
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