title: Case series: Tension pneumothorax complicating narrow-bore enteral feeding tube placement.
abstract: Frequently, narrow-bore feeding tubes are placed in critically ill hospitalized patients without difficulty. However, due to the simplicity and relative ease of bedside placement of feeding tubes, complications, including life threatening, are often minimized. We report 3 cases of severe pleuropulmonary complications after routine bedside placement of a narrow-bore enteral feeding tubes and a review of the literature. These episodes have not only prompted our adoption of a new policy specifying the routine use of ultrasound to guide feeding tube placement in obtunded or mechanically ventilated patients but also offer recommendations post-removal of misplaced feeding tubes.
authors.affiliation: Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Sheldon Y
authors.initials: SY
authors.lastname: Freeberg
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Carrigan
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Culver
authors.forename: Jorge A
authors.initials: JA
authors.lastname: Guzman
mesh_terms: D000369:Aged, 80 and over; D003422:Critical Care; D004750:Enteral Nutrition / Q000009:adverse effects* / Q000295:instrumentation*; D005260:Female; D041981:Gastrointestinal Tract / Q000000981:diagnostic imaging; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000379:methods; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D018084:Ultrasonography, Interventional