[Intracranial insertion of a nasogastric tube in a patient with severe head injuries].
The accident intracranial insertion of a nasogastric tube is a well known complication. We report the case of 19-year-old girl with a severe craniofacial trauma who had a nasogastric tube inserted at the site of the traffic accident. The aspiration gave issue of haemorrhagic fluid. At admission the X-ray of the skull showed the intracerebral penetration of the tube. It was removed but the patient died two days later. The various means of prevention and treatment of this complication are discussed.
Estebe
J P
JP
Service d'Anesthésie-Réanimation Chirurgicale, CHU Pontchaillou, Rennes.
Fleureaux
O
O
Lenaoures
A
A
Mallédant
Y
Y
D000328:Adult; D006259:Craniocerebral Trauma / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D009666:Nose; D011007:Pneumocephalus / Q000209:etiology*; D011859:Radiography; D012887:Skull Fractures / Q000150:complications* / Q000000981:diagnostic imaging
Pénétration intracrânienne d'une sonde nasogastrique chez un traumatisé crânien grave.