scholarly journals Tension Pneumothorax and Subcutaneous Emphysema Complicating Insertion of Nasogastric Tube

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Narjis AL Saif ◽  
Adel Hammodi ◽  
M. Ali Al-Azem ◽  
Rasheed Al-Hubail
Keyword(s):  
Critically Ill ◽  
Nasogastric Tube ◽  
Tension Pneumothorax ◽  
Tube Placement ◽  
Insertion Technique ◽  
Tube Insertion ◽  
Surgical Emphysema ◽  
Nasogastric Tube Placement ◽  
Nasogastric Tube Insertion ◽  
Fatal Complications

Nasogastric tube has a key role in the management of substantial number of hospitalized patients particularly the critically ill. In spite of the apparent simple insertion technique, nasogastric tube placement has its serious perhaps fatal complications which need to be carefully assessed. Pulmonary misplacement and associated complications are commonplace during nasogastric tube procedure. We present a case of tension pneumothorax and massive surgical emphysema in critically ill ventilated patient due to inadvertent nasogastric tube insertion and also discussed the risk factors, complication list, and arrays of techniques for safer tube placement.

scholarly journals Nasogastric tube placement in critically ill patients—stay alert!

2021 ◽  
Vol 36 (4) ◽  
pp. 1546-1547
Author(s):  
Paul Werner ◽  
Martin H. Bernardi ◽  
Guenther Laufer ◽  
Dominik Wiedemann
Keyword(s):  
Critically Ill ◽  
Nasogastric Tube ◽  
Critically Ill Patients ◽  
Tube Placement ◽  
Nasogastric Tube Placement

scholarly journals Novel Visual Nasogastric Tube Insertion System: A Feasibility and Efficiency Study in a Manikin

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Qiaoya Li ◽  
Juan Xie ◽  
Jinxing Wu ◽  
Rui Guo ◽  
Wenwen Ma ◽  
...  
Keyword(s):  
Medical Students ◽  
Conventional Method ◽  
Nasogastric Tube ◽  
Mucosal Damage ◽  
Conventional Group ◽  
Tube Placement ◽  
Tube Insertion ◽  
Visual Guidance ◽  
Visual Group ◽  
Nasogastric Tube Insertion

Background. Conventional nasogastric tube placement is an essential clinical procedure; however, complications may arise from blind manipulation. We tested the feasibility and efficiency of a visual nasogastric tube insertion system (VNGS) using a manikin. Methods. A microimaging fiber (0.8 mm) was integrated into the nasogastric tube to create the VNGS. Twenty inexperienced physicians were enrolled and assigned to the visual or conventional group. Each physician performed 10 repeated nasogastric tube insertions with visual guidance or the conventional method; another 20 inexperienced medical students received nasogastric tube insertion training using visual guidance or the conventional method. Results. The nasogastric tube successfully reached the stomach and the narrow anatomic structures were visualized with the VNGS. Time required for insertion was significantly shorter in the visual group compared to the conventional group (22.56±3.08 versus 37.30±4.12 seconds, P<0.001). Tube misplacement was observed in 19/100 cases (19%) in the conventional group; no misplacement was observed in the visual group. Less mucosal damage was noted in the visual group (3.43±1.63 versus 9.86±2.31 cm2). Medical students performed better NGT insertions (shorter insertion time and less procedure-related complications) after undergoing the visual guidance training. Conclusions. The VNGS may provide a new technique for nasogastric tube insertion applicable to clinical use or simulation training.

scholarly journals Clinical and Nonclinical Implications of Misplaced Nasogastric Tubes: Tools for Implementation of Standardized Best Practices

2020 ◽  
pp. 64-67
Author(s):  
Olivia Lounsbury ◽  
Jennifer Tatro ◽  
Beth Lyman ◽  
Donna Prosser ◽  
Haylie Coffey
Keyword(s):  
Patient Safety ◽  
Best Practices ◽  
Nasogastric Tube ◽  
Systematic Approach ◽  
Tube Placement ◽  
Economic Stability ◽  
Nasogastric Tubes ◽  
Never Events ◽  
Nasogastric Tube Placement ◽  
Nasogastric Tube Insertion

The consequences of misplaced nasogastric tubes extend far beyond the clinical setting and have implications for the hospital’s reputation and economic stability. A systematic approach for nasogastric tube insertion and verification is necessary in order to prevent misplaced nasogastric tubes which are, indeed, “never events.” The Actionable Patient Safety Solutions (APSS) from the Patient Safety Movement Foundation outline best practices for implementation of nasogastric tube placement protocols in hospitals to ensure consistency across the organization and preserve patient safety at the forefront of all clinical endeavors.

scholarly journals Acute Gastric Dilatation: A Cause for Concern

2021 ◽  
pp. 171-177
Author(s):  
Danial Haris Shaikh ◽  
Abhilasha Jyala ◽  
Shehriyar Mehershahi ◽  
Chandni Sinha ◽  
Sridhar Chilimuri
Keyword(s):  
Nasogastric Tube ◽  
Radiological Finding ◽  
Plain Film ◽  
Tube Placement ◽  
Gastric Dilatation ◽  
Acute Hyperglycemia ◽  
Acute Gastric Dilatation ◽  
Physician Awareness ◽  
Gastric Emphysema ◽  
Nasogastric Tube Placement

Acute gastric dilatation is the radiological finding of a massively enlarged stomach as seen on plain film X-ray or a computerized tomography scan of the abdomen. It is a rare entity with high mortality if not treated promptly and is often not reported due to a lack of physician awareness. It can occur due to both mechanical obstruction of the gastric outflow tract, or due to nonmechanical causes, such as eating disorders and gastroparesis. Acute hyperglycemia without diagnosed gastroparesis, such as in patients with diabetic ketoacidosis, may also predispose to acute gastric dilatation. Prompt placement of a nasogastric tube can help deter its serious complications of gastric emphysema, ischemia, and/or perforation. We present our experience of 2 patients who presented with severe hyperglycemia and were found to have acute gastric dilation on imaging. Only one of the patients was treated with nasogastric tube placement for decompression and eventually made a full recovery.

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