Esophageal nasogastric tube misplacement in an infant following laser supraglottoplasty.
Nasogastric (NG) tube misplacement continues to be one of the most common problems associated with enteral tube feedings. Current methods of testing appropriate NG tube placement are ineffective in detecting tube misplacement in a clinically significant number of infants and children. This case study describes an NG tube misplacement into the esophagus in an infant following laser supraglottoplasty; the misplacement was detected on a radiograph obtained as part of a study protocol. Other testing methods used failed to detect the tube misplacement, which could have led to aspiration pneumonia or other complications if the radiograph had not shown the misplacement.
Crisp
Cheryl L
CL
Indiana University, School of Nursing, Indianapolis, IN 46202, USA. ccrisp@iupui.edu <ccrisp@iupui.edu>
D001314:Auscultation / Q000451:nursing; D001999:Bronchoscopy / Q000451:nursing; D004868:Equipment Failure; D005260:Female; D005745:Gastric Acidity Determination; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007223:Infant; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000379:methods / Q000451:nursing*; D007828:Laryngoscopy / Q000451:nursing; D009730:Nursing Assessment / Q000379:methods*; D011182:Postoperative Care / Q000451:nursing; D013396:Suction / Q000451:nursing