title: Repeated lung lavage with extracorporeal membrane oxygenation treating severe acute respiratory distress syndrome due to nasogastric tube malposition for enternal nutrition: a case report.
abstract: Enternal nutritional support, a frequently applied technique for providing nutrition and energy, played a pivotal role in the treatment of high risk patients. However, severe complications induced by malposition of nasogastric tube caused great danger and even death to the patients. In this case report, we present a patient with severe acute respiratory distress syndrome (ARDS) induced by bronchopleural fistula (BPF) due to malposition of nasogastric tube. Repeated lung lavage combined with extracorporeal membrane oxygenation (ECMO) was performed after transferring to the ICU of our hospital. Finally, the patient recovered and discharged 7 days after admission.
authors.affiliation: Research Institute of General Surgery, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, 305 East Zhongshan Road, Nanjing, 210002 China. kaoxiaoming@126.com
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Kao
authors.forename: Wenkui
authors.initials: W
authors.lastname: Yu
authors.forename: Weiming
authors.initials: W
authors.lastname: Zhu
authors.forename: Ning
authors.initials: N
authors.lastname: Li
authors.forename: Jieshou
authors.initials: J
authors.lastname: Li
mesh_terms: D000368:Aged; D001980:Bronchi / Q000293:injuries; D001983:Bronchial Fistula / Q000209:etiology* / Q000503:physiopathology; D018893:Bronchoalveolar Lavage; D004750:Enteral Nutrition; D015199:Extracorporeal Membrane Oxygenation; D005526:Food, Formulated / Q000009:adverse effects; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008297:Male; D019300:Medical Errors / Q000009:adverse effects*; D019152:Paracentesis; D010994:Pleura / Q000293:injuries; D010996:Pleural Effusion / Q000209:etiology* / Q000503:physiopathology; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome