title: Knotting of nasogastric tube around a nasotracheal tube: An unusual cause of hypercapnia in a 3-month-old infant.
abstract: A 3-month-old boy was admitted to the intensive care unit because of septic shock; he required immediate intubation and placement of a nasogastric tube. A confirmatory chest radiograph showed that the nasogastric tube was looping in the hypopharynx and needed to be repositioned. During removal of the nasogastric tube, the infant experienced hypercapnia and respiratory distress. These complications were due to looping and knotting of the nasogastric tube around the nasotracheal tube.
authors.affiliation: Pediatric Department Hôtel Dieu de France Hospital, Beirut, Lebanon.
authors.forename: Imad
authors.initials: I
authors.lastname: Melki
authors.forename: Nayla
authors.initials: N
authors.lastname: Matar
authors.forename: Sabine
authors.initials: S
authors.lastname: Maalouf
authors.forename: Simon
authors.initials: S
authors.lastname: Rassi
mesh_terms: D000402:Airway Obstruction / Q000209:etiology*; D004868:Equipment Failure; D006801:Humans; D006935:Hypercapnia / Q000209:etiology*; D007223:Infant; D007441:Intubation, Gastrointestinal / Q000009:adverse effects / Q000295:instrumentation*; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation*; D007828:Laryngoscopy; D008297:Male; D012772:Shock, Septic / Q000628:therapy*