Nasogastric tube perforation of the nasopharynx

We have presented two unusual cases of nasogastric tube perforation of the posterior nasopharynx. Complications included subcutaneous emphysema, pneumomediastinum, and pleural effusion. Both patients recovered. Recommendations to improve nasogastric tube safety include gentle placement using lubrica...

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Veröffentlicht in:	Southern medical journal (Birmingham, Ala.) Ala.), 1985-11, Vol.78 (11), p.1362-1364
Hauptverfasser:	Patow, C A, Pruet, C W, Fetter, T W, Rosenberg, S A
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Female Humans Intubation, Gastrointestinal - adverse effects Mediastinal Emphysema - etiology Middle Aged Nasopharynx - diagnostic imaging Nasopharynx - injuries Pleural Effusion - etiology Radiography Rupture Subcutaneous Emphysema - etiology
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Zusammenfassung:	We have presented two unusual cases of nasogastric tube perforation of the posterior nasopharynx. Complications included subcutaneous emphysema, pneumomediastinum, and pleural effusion. Both patients recovered. Recommendations to improve nasogastric tube safety include gentle placement using lubricant and an appropriately sized tube, confirmation of tube placement before any infusion, and awareness of patients at increased risk of mucosal injury.
ISSN:	0038-4348
DOI:	10.1097/00007611-198511000-00027