Pneumothorax Following Feeding Tube Placement: Precaution and Treatment
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Abstract
Nasojejunal feeding tubes are being used at an increased frequency, but it is not without complications that could be life-threatening. We report two cases of pneumothorax following small-bore feeding tube insertion into the pleural cavity, resulting in pneumothorax. We further discuss the potential measures that can be taken to prevent and treat this serious complication.
Boulton-Jones JR, Lewis J, Jobling JC, Teahon K. Experience of post-pyloric feeding in seriously ill patients in clinical practice. Clin Nutr 2004;23(1):35-41.
Sweatman AJ, Tomasello PA, Loughhead MG, Orr M, Datta T. Misplacement of nasogastric tubes and oesophageal monitoring devices. Br J Anaesth 1978;50(4):389-92.
Kolbitsch C, Pomaroli A, Lorenz I, Gassner M, Luger TJ. Pneumothorax following nasogastric feeding tube insertion in a tracheostomized patient after bilateral lung transplantation. Intensive Care Med 1997;23(4):440-2.
Winterholler M, Erbguth FJ. Accidental pneumothorax from a nasogastric tube in a patient with severe hemineglect: a case report. Arch Phys Med Rehabil 2002;83(8):1173-4.
Ahmed A, Aggarwal M, Watson E. Esophageal perforation: a complication of nasogastric tube placement. Am J Emerg Med 1998;16(1):64-6.
Tronnier V, Hampl J, Branscheid D, Wiedemann K. Esophageal perforation and pneumothorax. Complicationsdue to placement of a stomach tube. Anasthesiol Intensivmed Notfallmed Schmerzther 1991;26(1):51-4.
Wendell GD, Lenchner GS, Promisloff RA. Pneumothoraxcomplicating small-bore feeding tube placement. Arch Intern Med 1991;151(3):599-602.
Jeejeebhoy KN. Enteral feeding. Curr Opin Gastroenterol 2005;21(2):187-91.
Datta G, Gnanalingham KK, van Dellen J, O'Neill K. Therole of parenteral nutrition as a supplement to enteral nutrition in patients with severe brain injury. Br J Neurosurg 2003;17(5):432-6.
Rowan CJ, Gillanders LK, Paice RL, Judson JA. Is early enteral feeding safe in patients who have suffered spinal cord injury? Injury 2004;35(3):238-42.
Kobiashvili MG. Enteral nutrition of patients with a severe trauma. Vestn Khir Im I I Grek 2003;162(2):37-41.
Jackson MD, Davidoff G. Gastroparesis following traumatic brain injury and response to metoclopramide therapy. Arch Phys Med Rehabil 1989;70(7):553-5.
Boyes RJ, Kruse JA. Nasogastric and nasoenteric intubation. Crit Care Clin. 1992 Oct;8(4):865-78.
Genú PR, de Oliveira DM, Vasconcellos RJ, Nogueira RV, Vasconcelos BC. Inadvertent intracranial placement of a nasogastric tube in a patient with severe craniofacial trauma: a case report. J Oral Maxillofac Surg 2004;62(11):1435-8.
. Ferreras J, Junquera LM, García-Consuegra L. Intracranial placement of a nasogastric tube after severe craniofacial trauma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90(5):564-6.
Ott L, Annis K, Hatton J, McClain M, Young B. Postpyloric enteral feeding costs for patients with severe head injury: blind placement, endoscopy, and PEG/J versus TPN. J Neurotrauma 1999;16(3):233-42.
Hernández-Socorro CR, Marin J, Ruiz-Santana S, Santana L, Manzano JL. Bedside sonographic-guided versus blind nasoenteric feeding tube placement in critically ill patients. Crit Care Med 1996;24(10):1690-4.
Bercik P, Schlageter V, Mauro M, Rawlinson J, Kucera P, Armstrong D. Noninvasive verification of nasogastric tube placement using a magnet-tracking system: a pilot study in healthy subjects. JPEN J Parenter Enteral Nutr 2005;29(4):305-10.
Gabriel SA, Ackermann RJ. Placement of nasoenteral feeding tubes using external magnetic guidance. JPEN J Parenter Enteral Nutr 2004;28(2):119-22.
Lai CW, Barlow R, Barnes M, Hawthorne AB. Bedside placement of nasojejunal tubes: a randomised-controlled trial of spiral- vs straight-ended tubes. Clin Nutr 2003;22(3):267-70.
| Files | ||
| Issue | Vol 50, No 5 (2012) | |
| Section | Original Article(s) | |
| Keywords | ||
| Enteral feeding Pneumothorax Intubation Nasogastric | ||
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