Case report demonstrates tension pneumothorax and massive subcutaneous emphysema after nasogastric tube misplacement in a ventilated patient, highlighting the need for safer insertion techniques.
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.
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Saif et al. (2015) studied this question.
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