Down a wrong path – A nasogastric tube in the lung

Nasogastric tube insertion is a common bedside procedure. In an awake patient, unexpected passage into airway is easily noticeable due to the gag reflex; however, in the case of ventilated patients false cannulation is liable to be missed, unless insertion is carried out under direct visualization....

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Bibliographic Details
Published in:Tropical doctor 2021-10, Vol.51 (4), p.599-600
Main Authors: Kaur, Supreet, Mohi Ud Din Dar, Parvez, Priyadarshini, Pratyusha
Format: Article
Language:English
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Summary:Nasogastric tube insertion is a common bedside procedure. In an awake patient, unexpected passage into airway is easily noticeable due to the gag reflex; however, in the case of ventilated patients false cannulation is liable to be missed, unless insertion is carried out under direct visualization. We present a case of passage of nasogastric tube into peripheral bronchiole of the right lung, which was initially missed on chest radiography. This case report highlights the fallacy of relying on a chest radiograph.
ISSN:0049-4755
1758-1133
DOI:10.1177/0049475520974199