• Am. J. Crit. Care · Mar 2010

    Case Reports

    Knotting of nasogastric tube around a nasotracheal tube: An unusual cause of hypercapnia in a 3-month-old infant.

    • Imad Melki, Nayla Matar, Sabine Maalouf, and Simon Rassi.
    • Pediatric Department Hôtel Dieu de France Hospital, Beirut, Lebanon.
    • Am. J. Crit. Care. 2010 Mar 1;19(2):198-7.

    AbstractA 3-month-old boy was admitted to the intensive care unit because of septic shock; he required immediate intubation and placement of a nasogastric tube. A confirmatory chest radiograph showed that the nasogastric tube was looping in the hypopharynx and needed to be repositioned. During removal of the nasogastric tube, the infant experienced hypercapnia and respiratory distress. These complications were due to looping and knotting of the nasogastric tube around the nasotracheal tube.

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