Transbronchial intubation of the right pleural space: a rare complication of nasogastric intubation with a polyvinylchloride tube--a case study.
Inappropriate intubation of the tracheobronchial tree by a fine-bore nasogastric tube with a metal stylet is a well-known hazard. We report a pulmonary perforation and hydropneumothorax caused by a polyvinylchloride nasogastric tube without a stylet in a child of 13 months. The position of the tube was checked by auscultation before feeding. It would appear that the auscultatory method is inadequate in checking the correct placement of a nasogastric tube in young children. An ordinary nasogastric tube can cause pulmonary perforation.
Children's Hospital, Ladywood, Birmingham, U.K.
A
A
el-Gamel
D C
DC
Watson
D001314:Auscultation; D004750:Enteral Nutrition / Q000295:instrumentation*; D006801:Humans; D006872:Hydropneumothorax / Q000209:etiology; D007223:Infant; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000379:methods; D008297:Male; D010994:Pleura / Q000293:injuries*; D011143:Polyvinyl Chloride
D011143:Polyvinyl Chloride