Complications of Nasogastric Intubation

2021 ◽  
pp. 29-35
Author(s):  
Julie E. Dechant
2003 ◽  
Vol 24 (5) ◽  
pp. 351-355 ◽  
Author(s):  
Sônia R. P. E. Dantas ◽  
M. Luiza Moretti-Branchini

AbstractObjective:To determine the incidence of acquired infection, and the incidence, risk factors, and molecular typing of multidrug-resistant bacterial organisms (MROs) colonizing respiratory secretions or the oropharynx of patients in an extended-care area of the emergency department (ED) in a tertiary-care university hospital.Methods:A case-control study was conducted regarding risk factors for colonization with MROs in ED patients from July 1996 to August 1998. The most prevalent MRO strains were determined using plasmid and genomic analysis with PFGE.Results:MROs colonized 59 (25.4%) of 232 ED patients and 173 controls. The mean ED length of stay for the 59 cases was 13.9 days versus 9.8 days for the 173 controls. The mean length of stay prior to the first isolation of MROs was 9.9 days. MRO species included Acinetobacter baumannii, Staphylococcus aureus, and Pseudomonas aeruginosa. The rate of hospital-acquired infection was 32.7 per 1,000 ED patient-days. The case fatality rate was significantly higher for cases. Univariate analysis identified mechanical ventilation, nebulization, nasogastric intubation, urinary catheterization, antibiotic therapy, and number of antibiotics as risk factors for MRO colonization. Multivariate regression analysis found that mechanical ventilation and nasogastric intubation independently predicted MRO colonization. Endemic clones were identified by PFGE in ED patients and were also found in patients in other parts of the hospital.Conclusions:Prolonged stay in the ED posed a risk for colonization with MROs and for contracting nosocomial infections, both of which were associated with increased mortality. Patients colonized with antibiotic-resistant A. baumannii may serve as a reservoir for spread in this hospital.


Author(s):  
Muzna Iftikhar ◽  
Shahbaz Bakhat Kayani ◽  
Atiq Ur Rehman

Nasogastric intubation is a frequent practice in clinical care used for administering enteral feed, gastric decompression, and lavage. The knotting of a nasogastric tube is a rare complication with only a few incidences of narrow bore nasogastric tube knotting and even fewer wide-bore tubes reported [1-4]. Unrecognized knotting of the nasogastric tube with inadvertent removal may cause catastrophic consequences like epistaxis, respiratory distress’ severe laryngeal injury, and tracheoesophageal fistula [5-7]. Tubes have been found to be kinked and less commonly knotted. Cases of knotting have previously been identified during insertion or blockage of the tubes post-insertion. Ours is a case of nasogastric tube knotting identified in a young patient with a working tube that knotted over itself during removal.


1995 ◽  
Vol 23 (3) ◽  
pp. 370-372
Author(s):  
M. Pinder ◽  
H. Hon ◽  
F. Irmay ◽  
J. Lipman

2010 ◽  
Vol 24 (S13) ◽  
pp. 75-79
Author(s):  
F. M. Andrews ◽  
Christine C. Jenkins ◽  
Donita Frazier ◽  
J. T. Blackford

1977 ◽  
Vol 47 (2) ◽  
pp. 297-298 ◽  
Author(s):  
Allen R. Wyler ◽  
Arden F. Reynolds

✓ A case is presented in which a patient who had suffered severe facial fractures erroneously had a nasogastric tube placed in the intracranial cavity. It is believed that no such complication of nasogastric intubation has been reported previously.


2015 ◽  
Vol 43 (12) ◽  
pp. 2941-2952 ◽  
Author(s):  
Zhenglong Sun ◽  
Shaohui Foong ◽  
Luc Maréchal ◽  
U-Xuan Tan ◽  
Tee Hui Teo ◽  
...  

1993 ◽  
Vol 76 (5) ◽  
pp. 1169 ◽  
Author(s):  
Rafael Ortega ◽  
Dusan Dobnik

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