Bronchopulmonary Complications of Nasogastric tube Placement Pages 13-16

Jens Schreiber1, Thomas Hachenberg2, Sebastian Föllner1 and Sandra Riedel1

1Department of Pneumonology, Otto-von-Guericke-University Magdeburg, University Hospital; 2Department of Anaesthesiology and Intensive Care Medicine Magdeburg, Germany

DOI: http://dx.doi.org/10.12974/2312-5470.2014.01.01.3

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Abstract: Importance: Nasogastric tube (NGT) placement can cause severe thoracic and non-thoracic complications, which can cause severe morbidity and mortality. The knowledge of predisposing factors is crucial for prevention of these complications. Design: We report on three different cases of severe complication of NGT placement, which have not yet been described. Results: In the first case, intrathoracic malposition of a NGT in a sliding gastric hiatus herniation and repeated insufflations of air for localization control resulted in compression and laceration of the lungs with massive pulmonary hemorrhage. In the second, there was a perforation of both the esophagus and the membranous part of the trachea from the gullet site by a guidewire-containing NGT. In the third case, severe pleuropulmonary complications occurred after short-term intrabronchial malposition. Conclusions: These cases are intended to encourage vigilance to reasons and the clinical course of thoracic complications of NGT placement. Predisposing factors and preventive measures are discussed.

Keywords: Nasogastric tubes, complications, esophageal injury, pulmonary haemorrhage.