• Acta Anaesthesiol Taiwan · Dec 2007

    Case Reports

    Another source of airway-leakage: inadvertent endobronchial misplacement of nasogastric tube in a patient intubated with double-lumen endotracheal tube under anesthesia.

    • Ming-Hui Hung, Pei-Fang Hsieh, She-Chin Lee, and Kuang-Cheng Chan.
    • Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan, ROC.
    • Acta Anaesthesiol Taiwan. 2007 Dec 1;45(4):241-4.

    AbstractNasogastric (NG) tube placement for gastrointestinal decompression is a common procedure for most major surgeries in the operating rooms. However, it could cause life-threatening complications in some difficult cases if it is not correctly placed in the stomach and recognition of misplacement is not prompt. We report a case of inadvertent endobronchial misplacement of NG tube in a patient intubated with double-lumen endotracheal tube for anesthesia. The NG tube slipped past the high-volume-low-pressure cuff of double-lumen endotracheal tube accidentally, resulting in airway-leakage and ventilatory failure. Traditional methods such as aspiration of gastric contents or auscultation of gastric insufflation air for confirmation are unreliable to exclude misplacement of NG tube. We suggest that using capnography to detect misplacement of NG tube in the trachea or facilitating NG tube insertion by videolayrngoscope (GlideScope) could be considered in the operating rooms to avoid complications.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.