• Intensive care medicine · Apr 1997

    Case Reports

    Pneumothorax following nasogastric feeding tube insertion in a tracheostomized patient after bilateral lung transplantation.

    • C Kolbitsch, A Pomaroli, I Lorenz, M Gassner, and T J Luger.
    • Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens-University of Innsbruck, Austria. kolbitsch@uibk.ac.at
    • Intensive Care Med. 1997 Apr 1; 23 (4): 440-2.

    AbstractWe report the case of a pneumothorax caused by the improper placement of a nasogastric feeding tube in a tracheostomized patient after bilateral lung transplantation. We discuss the contribution of low-pressure cuffed tracheostomy tubes to the inadvertent respiratory tract misplacement of a nasogastric feeding tube, as well as the problems of nasogastric feeding tube insertion in the sedated patient, why the previously installed closed-tube thoracostomy did not prevent the pneumothorax and possible pitfalls in confirming the proper position of the nasogastric feeding tube. In conclusions, we stress that in high risk patients a nasogastric feeding tube should only be inserted under direct vision and that a subsequent routine X-ray is mandatory for confirming proper positioning.

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