Nasogastric tube perforation of the nasopharynx.
We have presented two unusual cases of nasogastric tube perforation of the posterior nasopharynx. Complications included subcutaneous emphysema, pneumomediastinum, and pleural effusion. Both patients recovered. Recommendations to improve nasogastric tube safety include gentle placement using lubricant and an appropriately sized tube, confirmation of tube placement before any infusion, and awareness of patients at increased risk of mucosal injury.
D000368:Aged; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008478:Mediastinal Emphysema / Q000209:etiology; D008875:Middle Aged; D009305:Nasopharynx / Q000000981:diagnostic imaging / Q000293:injuries*; D010996:Pleural Effusion / Q000209:etiology; D011859:Radiography; D012421:Rupture; D013352:Subcutaneous Emphysema / Q000209:etiology