Journal of the Chinese Medical Association
Volume 71, Issue 7 , Pages 365-367 , July 2008

Inadvertent Tracheobronchial Placement of Feeding Tube in a Mechanically Ventilated Patient

  • Po-Chien Wang

      Affiliations

    • Department of Internal Medicine, Ton-Yen General Hospital, Hsinchu, Taiwan, R.O.C.
  • ,
  • Guan-Ying Tseng

      Affiliations

    • Department of Internal Medicine, Ton-Yen General Hospital, Hsinchu, Taiwan, R.O.C.
  • ,
  • Hsiao-Bai Yang

      Affiliations

    • Department of Pathology, Ton-Yen General Hospital, Hsinchu, Taiwan, R.O.C.
  • ,
  • Kuo-Chih Chou

      Affiliations

    • Department of Internal Medicine, Ton-Yen General Hospital, Hsinchu, Taiwan, R.O.C.
  • ,
  • Chung-Hua Chen

      Affiliations

    • Department of Internal Medicine, Ton-Yen General Hospital, Hsinchu, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Chung-Hua Chen, Department of Internal Medicine, Ton-Yen General Hospital, Jhubei City, Hsinchu County 302, Taiwan, R.O.C

Received 4 October 2007 ,Accepted 3 March 2008.

References 

  1. Thomsen TW , Shaffer RW , Setnik GS . Nasogastric intubation . N Engl J Med . 2006;354:e16–e17
  2. Wu PY , Kang TJ , Hui CK , Hung MH , Sun WZ , Chan WH . Fetal massive hemorrhage caused by nasogastric tube misplacement in a patient with mediastinitis . J Formos Med Assoc . 2006;105:80–85
  3. Wu PY . The management of patients with advanced motor neuron disease . J Chin Med Assoc . 1998;61:141–145
  4. Khiew KF , Huang CJ , Ohta J . Complete transection of trachea and esophagus: two case reports . J Chin Med Assoc . 1990;45:64–68
  5. Pillai JB , Vegas A , Brister S . Thoracic complications of nasogastric tube: review of safe practice . Interact Cardiovasc Thorac Surg . 2005;4:429–433
  6. Miller KS , Tomlinson JR , Sahn SA . Pleuropulmonary complications of enteral tube feedings: two reports, review of the literature, and recommendations . Chest . 1985;88:230–233
  7. Woodall BH , Winfield DF , Bisset GS . Inadvertent tracheobronchial placement of feeding tubes . Radiology . 1987;165:727–729
  8. Duthorn L , Steinberg HS , Hauser H , Neeser G , Pracki P . Accidental intravascular placement of a feeding tube . Anesthesiology . 1998;89:251–253
  9. Gregory JA , Turner PT , Reynolds AF . A complication of nasogastric intubation: intracranial penetration . J Trauma . 1978;18:823–824
  10. Rassias AJ , Ball PA , Corwin HL . A prospective study of tracheopulmonary complications associated with the placement of narrow-bore enteral feeding tubes . Crit Care . 1998;2:25–28
  11. Roubenoff R , Ravich WJ . Pneumothorax due to nasogastric feeding tubes: report of four cases, review of the literature, and recommendations for prevention . Arch Intern Med . 1989;149:184–188
  12. Marderstein EL , Simmons RL , Ochoa JB . Patient safety: effect of institutional protocols on adverse events related to feeding tube placement in the critically ill . J Am Coll Surg . 2004;199:35–50
  13. Culpepper JA , Veremakis C , Guntupalli KK , Sladen A . Malpositioned nasogastric tube causing pneumothorax and bronchopleural fistula . Chest . 1982;81:389
  14. Muthuswamy PP , Patel K , Rajendran R . “Isocal pneumonia” with respiratory failure . Chest . 1982;81:390
  15. Thomas B , Cummin D , Falcone RE . Accidental pneumothorax from a nasogastric tube . N Engl J Med . 1996;335:1325–1326
  16. Haas LEM , Tjan DHT , van Zanten ARH . “Nutrothorax” due to misplacement of a nasogastric feeding tube . Neth J Med . 2006;64:385–386

PII: S1726-4901(08)70141-2

doi: 10.1016/S1726-4901(08)70141-2

Journal of the Chinese Medical Association
Volume 71, Issue 7 , Pages 365-367 , July 2008