Accidental pneumothorax from a nasogastric tube in a patient with severe hemineglect: a case report.
Nasogastric tubes are frequently used for nutrition of patients with neurologic diseases. We report an instance of inadvertant placement of a standard nasogastric tube into the left pleural space in a patient with right parietotemporal intracerebral hemorrhage and severe hemineglect on the left side. The 2 confirmatory maneuvers-aspiration of fluid and auscultating the abdomen on insufflating air-were false-positive. We conclude that only radiologic confirmation of the position of nasogastric tubes and the awareness of the associated dangers will help minimize the occurrence of such events in patients with disorders of perception or altered consciousness.
Winterholler
Martin
M
Neurologische Klinik, Martin-Luther-UniversitäAdat Halle, Germany. martin.winterholler@medizin.uni-halle.de
Erbguth
Frank J
FJ
D000368:Aged; D002543:Cerebral Hemorrhage / Q000150:complications; D003072:Cognition Disorders / Q000150:complications; D005260:Female; D006801:Humans; D006941:Hyperesthesia / Q000150:complications; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D011030:Pneumothorax / Q000209:etiology*