scholarly journals Laryngospasm Caused by Removal of Nasogastric Tube after Tracheal Extubation: Case Report

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Takuo Hoshi
Keyword(s):  
Case Report ◽  
Abdominal Surgery ◽  
Nasogastric Tube ◽  
Face Mask ◽  
Tracheal Extubation ◽  
Respiratory Arrest ◽  
Airway Complication ◽  
Vocal Cords ◽  
Nasogastric Tubes ◽  
Tube Removal

Background: We report a case of laryngospasm during nasogastric tube removal. Laryngospasm is a severe airway complication after surgery and there have been no reports associated with the removal of nasogastric tubes. Case Report: After abdominal surgery, the patient was extubated the tracheal tube, and was removed the nasogastric tube. Thereafter patient went into respiratory arrest. We attempted to ventilate using a face mask, and then through a supraglottic device, but both attempts were unsuccessful. Finally, we re-intubated her and stabilized her vitals. Conclusion: When patients are in emerging from anesthesia, nasogastric tube withdrawal may cause irritation of the vocal cords by gastric acids, and thereby, provoke laryngospasm. This can be avoided by removing it before reversing anesthesia or after the patient is awake.

scholarly journals The Best Strategy for Nasogastric Tube Removal in Patients with Acute Appendicitis Complicated with Ileus: A Case Report and Review.

2020 ◽  
Author(s):  
Yu-Ju Tseng ◽  
Pei-Yin Huang ◽  
Po-Chu Lee ◽  
Tzu-Hsin Lin ◽  
Rey-Heng Hu
Keyword(s):  
Acute Appendicitis ◽  
Nasogastric Tube ◽  
Lower Abdominal Pain ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Nasogastric Tubes ◽  
Tube Removal ◽  
Common Causes ◽  
Periappendiceal Abscess ◽  
Tomography Scan

Abstract BackgroundAcute appendicitis is one of the most common causes of the acute abdomen. However, acute appendicitis complicated with ileus is uncommon. By presenting this case, we aim to give some suggestions on the postoperative care, especially an algorithm for the insertion and removal of nasogastric tube.Case presentation A 20-year-old man presenting with left lower abdominal pain and symptoms of ileus was diagnosed with acute appendicitis complicated with ileus by computed tomography scan. A nasogastric tube was inserted for the ileus preoperatively. He underwent laparoscopic appendectomy, during which periappendiceal abscess with local peritonitis was noted. The nasogastric tube was removed on the first postoperative day, but symptoms of ileus developed again. Urografin study revealed contrast media retaining in the small bowel, so nasogastric tube reinsertion was performed. The nasogastric tube was removed on the ninth postoperative day after the recovery from ileus. The patient was discharged on the thirteenth postoperative day.ConclusionPatients of acute appendicitis with ileus should be assessed carefully. Nasogastric tubes shouldn’t be removed until the following requirements are satisfied: Firstly, symptoms of abdominal distention and nausea relieve. Secondly, no more hypoactive bowel sounds are found. And finally, nasogastric tube drainage becomes less than 200mL per day, or the passage of flatus or stool presents.

A case of a ‘lost’ nasogastric tube

2012 ◽  
Vol 126 (12) ◽  
pp. 1296-1298 ◽  
Author(s):  
V Sankar ◽  
M Shakeel ◽  
S Keh ◽  
K W Ah-See
Keyword(s):  
Nasogastric Tube ◽  
Main Bronchus ◽  
Tube Feeding ◽  
X Ray ◽  
Feeding Tubes ◽  
Nasogastric Tubes ◽  
Tube Removal ◽  
Chest X Ray ◽  
Nasogastric Tube Feeding ◽  
Radiotherapy Treatment

AbstractObjectives:To present the case of a ‘lost’ nasogastric tube and to highlight the importance of imaging and/or chest X-ray after nasogastric tube insertion, especially in unreliable patients.Case report:A 50-year-old man, undergoing radiotherapy treatment for squamous cell carcinoma of the tongue base, was admitted for pain control and nasogastric tube feeding. This patient required multiple nasogastric tubes over a two-week period. The patient repeatedly denied pulling the nasogastric tube out and we were unable to establish the exact mode of nasogastric tube removal. On one such occasion another tube was inserted and a check X-ray showed two feeding tubes; the latest one was lying in the left main bronchus and the old nasogastric tube was observed in the oesophagus, with its upper end jutting above the hypopharynx. It was apparent that the patient had somehow cut the tube and swallowed it.Conclusion:This case not only illustrates the importance of flexible nasendoscopy and/or chest X-ray for checking the position of the nasogastric tube, but also highlights that some patients are not tolerant of nasogastric tubes. The use of nasogastric tubes should be avoided in these patients to prevent any self-inflicted injury.

scholarly journals The role of endoscopy in nasogastric tube removal following esophageal surgery: A case report

2007 ◽  
Vol 5 (5) ◽  
pp. 342-344
Author(s):  
Ali Mahmood ◽  
Einas Joseph ◽  
Robert B. Robinson ◽  
Jamil Akhras ◽  
Malik McKany ◽  
...  
Keyword(s):  
Case Report ◽  
Nasogastric Tube ◽  
Esophageal Surgery ◽  
Tube Removal

Nasogastric tube malposition: a case report

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

Atypical Presentation of Neurobrucellosis as Infection of Ventriculoperitoneal Shunt

2020 ◽  
Author(s):  
Raul-Ciprian Covrig ◽  
Jasmina Petridou ◽  
Ulrich J. Knappe
Keyword(s):  
Case Report ◽  
Abdominal Surgery ◽  
Ventriculoperitoneal Shunt ◽  
Political Context ◽  
European Countries ◽  
The Political ◽  
Atypical Presentation ◽  
The World ◽  
Surgery First ◽  
Endemic Areas

AbstractBrucellosis is a frequent zoonosis in some regions of the world and may cause various symptoms. Neurobrucellosis is a rare but serious complication of the infection. Our case report describes the course of neurobrucellosis in a patient who had received a ventriculoperitoneal shunt in his native country 13 years prior to diagnosis of brucellosis. He initially presented to us with symptoms of peritonitis, which misled us to perform abdominal surgery first. After the diagnosis of neurobrucellosis was confirmed and appropriate antibiotics were initiated, the symptoms soon disappeared. Although the ventriculoperitoneal shunt was subsequently removed, the patient did not develop a symptomatic hydrocephalus further on. This case displays the challenges in diagnosing an infection that occurred sporadically in Europe and may be missed by currently applied routine microbiological workup. Considering the political context, with increasing relocation from endemic areas to European countries, it is to be expected that the cases of brucellosis and neurobrucellosis will rise. Brucellosis should be considered and adequate investigations should be performed.

Treatment of Unilateral Cleft Lip and Palate Patient With Intraoral Tooth Tissue Borne Distractor and Facemask Therapy: A Case Report

2021 ◽  
pp. 105566562199336
Author(s):  
Akansha Bansal Agrawal ◽  
Harshavardhan Kidiyoor ◽  
Anand K. Patil Morth
Keyword(s):  
Case Report ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Growth Potential ◽  
Maxillary Expansion ◽  
Long Term Stability ◽  
Tooth Tissue

This case report demonstrates the successful use of intraoral distractor/hygenic rapid expander (HYRAX) for rapid maxillary expansion in anteroposterior direction with an adjunctive use of face mask therapy for anterior orthopedic traction of maxillary complex in a cleft patient with concave profile. The patient was a 13-year-old girl who reported with a chief complaint of backwardly positioned upper jaw and a severely forward positioned lower jaw. Therefore, a treatment was chosen in which acrylic bonded rapid maxillary expansion was done with tooth tissue borne intraoral distractor/HYRAX having a different activation schedule along with Dr Henri Petit facemask to treat maxillary retrognathism. As a result, crossbite got corrected and attained a positive jet with no bone loss in cleft area over a period of 5 months which was followed by fixed mechanotherapy achieving a well settled occlusion in 1 year. After completion of expansion and fixed mechanotherapy, ANB became +1 post-treatment which was −4 pretreatment. The prognathic profile was markedly improved by expansion and taking advantage of the remaining growth potential, thus minimizing the chances of surgery later in life. This provided a viable alternative to orthognathic surgery with good long-term stability.

Predictors of Nasogastric Tube Removal Before Acute Hospital Discharge in First-Ever Ischemic Stroke Patients

2016 ◽  
Vol 97 (10) ◽  
pp. e49
Author(s):  
Yun-Shan Yen ◽  
Willy Chou ◽  
Ya-Fang Hsu ◽  
Mei-Ju Ko ◽  
Daniel Chiung Jui Su ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Hospital Discharge ◽  
Nasogastric Tube ◽  
Acute Hospital ◽  
Stroke Patients ◽  
Tube Removal

Therapeutic Orphans

PEDIATRICS ◽  
1992 ◽  
Vol 89 (4) ◽  
pp. 688-689
Author(s):  
STEVEN J. WEISMAN ◽  
NEIL L. SCHECHTER
Keyword(s):  
Case Report ◽  
Respiratory Arrest ◽  
Intravenous Sedation ◽  
Safe Technique ◽  
Sedation And Analgesia

To the Editor.— The report by Yaster et al, “Midazolam-Fentanyl Intravenous Sedation in Children: Case Report of Respiratory Arrest,”1 is the first we are aware of in the pediatric literature which reviews and promotes the use of this method of sedation and analgesia for children. Unfortunately,the title of the article and some of its emphasis may have the unfortunate consequence of delaying acceptance of this generally safe technique which is clearly not the intent

Cardiac and Respiratory Arrest in a 12-Year-Old Girl with Acute Permethrin Toxicity: A Case Report

2021 ◽  
Author(s):  
Hesam Adin Atashi ◽  
Hamid Zaferani Arani ◽  
Seyyed Mojtaba Ghorani ◽  
Mahya Sadat Teimouri Khorasani ◽  
Masoumeh Moalem
Keyword(s):  
Case Report ◽  
Brain Damage ◽  
Respiratory Arrest ◽  
Spontaneous Circulation ◽  
Type I ◽  
Medical Problems ◽  
Present Case Report ◽  
Case Presentation ◽  
Hypoxic Brain Damage ◽  
Hypoxic Brain

Abstract Background: Permethrin (PER) is widely employed as the most frequently used type I synthetic pyrethroid insecticide. Despite its worldwide application, reports of pediatric toxicity following permethrin administration are scarce.Case presentation: The present case report involves a 12-year-old Afghan girl, with no previous medical problems, who drank an unknown insecticide covertly at home. Two hours after ingestion, she was taken to the emergency room with neither breathing signs nor a heartbeat. She was immediately transferred to the cardiopulmonary resuscitation (CPR) room, and her spontaneous circulation was returned after a few minutes of CPR. She was then intubated, volume resuscitated with intravenous normal saline, and connected to the mechanical ventilator after being transferred to the ICU ward. The patient remained comatose without spontaneous breathing, her pupils became bilateral mydriasis, and central diabetes insipidus became evident after three days due to apnea and hypoxic brain damage following insecticide ingestion. The chemical analysis of the insecticide bottle showed 10% permethrin without organophosphates, as initially expected. Unfortunately, after seven days, the patient passed away due to resistant hypotension and severe brain damage.Conclusion: Permethrin is widely used globally as an insecticide. However, there are many unmet needs in permethrin toxicity treatment, and the treatment is mainly supportive. Depending on the amount and dose of permethrin, the most common symptoms can vary from headache, dyspnea, and vomiting to metabolic acidosis and cardiac and respiratory arrest, which can lead to hypoxic brain damage and death, as was the outcome in our case.

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