Deadly pressure pneumothorax after withdrawal of misplaced feeding tube: a case report
Many patients have a nasogastric feeding tube inserted during admission; however, misplacement is not uncommon. In this case report we present, to the best of our knowledge, the first documented fatality from pressure pneumothorax following nasogastric tube withdrawal. An 84-year-old Caucasian woman...
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| Veröffentlicht in: | Journal of medical case reports 2016-02, Vol.10 (30), p.30-30, Article 30 |
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| description | Many patients have a nasogastric feeding tube inserted during admission; however, misplacement is not uncommon. In this case report we present, to the best of our knowledge, the first documented fatality from pressure pneumothorax following nasogastric tube withdrawal.
An 84-year-old Caucasian woman with dysphagia and at risk of aspiration underwent routine insertion of a nasogastric feeding tube; however, shortly after insertion she developed respiratory distress. A chest X-ray showed the tube had been misplaced into our patient's right lung. The tube was removed, but our patient died less than an hour after withdrawal. The autopsy report stated that cause of death was tension pneumothorax, which developed following withdrawal of the misplaced feeding tube.
The indications for insertion of nasogastric feeding tubes are many and the procedure is considered harmless; however, if the tube is misplaced there is good reason to be cautious on removal as this can unmask puncture of the pleura eliciting pneumothorax and, as this case report shows, result in an ultimately deadly tension pneumothorax. |
| doi_str_mv | 10.1186/s13256-016-0813-y |
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An 84-year-old Caucasian woman with dysphagia and at risk of aspiration underwent routine insertion of a nasogastric feeding tube; however, shortly after insertion she developed respiratory distress. A chest X-ray showed the tube had been misplaced into our patient's right lung. The tube was removed, but our patient died less than an hour after withdrawal. The autopsy report stated that cause of death was tension pneumothorax, which developed following withdrawal of the misplaced feeding tube.
The indications for insertion of nasogastric feeding tubes are many and the procedure is considered harmless; however, if the tube is misplaced there is good reason to be cautious on removal as this can unmask puncture of the pleura eliciting pneumothorax and, as this case report shows, result in an ultimately deadly tension pneumothorax.</description><identifier>ISSN: 1752-1947</identifier><identifier>EISSN: 1752-1947</identifier><identifier>DOI: 10.1186/s13256-016-0813-y</identifier><identifier>PMID: 26846268</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Aged, 80 and over ; Care and treatment ; Case Report ; Case studies ; Consent ; Development and progression ; Device Removal - adverse effects ; Fatal Outcome ; Fatalities ; Female ; Hospitalization ; Humans ; Intubation, Gastrointestinal - adverse effects ; Lungs ; Medical Errors - adverse effects ; Pneumothorax ; Pneumothorax - etiology ; Respiratory Insufficiency - etiology ; Right to die</subject><ispartof>Journal of medical case reports, 2016-02, Vol.10 (30), p.30-30, Article 30</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2016</rights><rights>Andresen et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440y-39962bb0179c38d847d03b00d549bc187ed8d1a5162e472c6063f8563cc72ed33</citedby><cites>FETCH-LOGICAL-c440y-39962bb0179c38d847d03b00d549bc187ed8d1a5162e472c6063f8563cc72ed33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4741019/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4741019/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26846268$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Andresen, Erik Nygaard</creatorcontrib><creatorcontrib>Frydland, Martin</creatorcontrib><creatorcontrib>Usinger, Lotte</creatorcontrib><title>Deadly pressure pneumothorax after withdrawal of misplaced feeding tube: a case report</title><title>Journal of medical case reports</title><addtitle>J Med Case Rep</addtitle><description>Many patients have a nasogastric feeding tube inserted during admission; however, misplacement is not uncommon. In this case report we present, to the best of our knowledge, the first documented fatality from pressure pneumothorax following nasogastric tube withdrawal.
An 84-year-old Caucasian woman with dysphagia and at risk of aspiration underwent routine insertion of a nasogastric feeding tube; however, shortly after insertion she developed respiratory distress. A chest X-ray showed the tube had been misplaced into our patient's right lung. The tube was removed, but our patient died less than an hour after withdrawal. The autopsy report stated that cause of death was tension pneumothorax, which developed following withdrawal of the misplaced feeding tube.
The indications for insertion of nasogastric feeding tubes are many and the procedure is considered harmless; however, if the tube is misplaced there is good reason to be cautious on removal as this can unmask puncture of the pleura eliciting pneumothorax and, as this case report shows, result in an ultimately deadly tension pneumothorax.</description><subject>Aged, 80 and over</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case studies</subject><subject>Consent</subject><subject>Development and progression</subject><subject>Device Removal - adverse effects</subject><subject>Fatal Outcome</subject><subject>Fatalities</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intubation, Gastrointestinal - adverse effects</subject><subject>Lungs</subject><subject>Medical Errors - adverse effects</subject><subject>Pneumothorax</subject><subject>Pneumothorax - etiology</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Right to die</subject><issn>1752-1947</issn><issn>1752-1947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkl2L1DAUhoso7rr6A7yRgCDedM1p0iT1YmFZP2HBG_U2pMnpNEunqUnr2n9vhlnXGZGQD5LnfcNJ3qJ4DvQcQIk3CVhVi5JC7gpYuT4oTkHWVQkNlw8P1ifFk5RuKK2Fatjj4qQSios8nBbf36Fxw0qmiCktEck04rINcx-i-UVMN2Mkt37uXTS3ZiChI1ufpsFYdKRDdH7ckHlp8S0xxJqEJOIU4vy0eNSZIeGzu_ms-Pbh_derT-X1l4-fry6vS8s5XUvWNKJqWwqysUw5xaWjrKXU1bxpLSiJTjkwNYgKuaysoIJ1qhbMWlmhY-ysuNj7Tku7RWdxnKMZ9BT91sRVB-P18cnoe70JPzWXHCg02eD1nUEMPxZMs871WRwGM2JYkgYpqkY0wHfoy3_Qm7DEMZeXKQm0UorKv9TGDKj92IV8r92Z6kvO839BrVSmzv9D5eZw620YsfN5_0jw6kDQoxnmPoVhmX0Y0zEIe9DGkFLE7v4xgOpdavQ-NTqnRu9So9eseXH4iveKPzFhvwHfsbvL</recordid><startdate>20160203</startdate><enddate>20160203</enddate><creator>Andresen, Erik Nygaard</creator><creator>Frydland, Martin</creator><creator>Usinger, Lotte</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160203</creationdate><title>Deadly pressure pneumothorax after withdrawal of misplaced feeding tube: a case report</title><author>Andresen, Erik Nygaard ; Frydland, Martin ; Usinger, Lotte</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440y-39962bb0179c38d847d03b00d549bc187ed8d1a5162e472c6063f8563cc72ed33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged, 80 and over</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Case studies</topic><topic>Consent</topic><topic>Development and progression</topic><topic>Device Removal - adverse effects</topic><topic>Fatal Outcome</topic><topic>Fatalities</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intubation, Gastrointestinal - adverse effects</topic><topic>Lungs</topic><topic>Medical Errors - adverse effects</topic><topic>Pneumothorax</topic><topic>Pneumothorax - etiology</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Right to die</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andresen, Erik Nygaard</creatorcontrib><creatorcontrib>Frydland, Martin</creatorcontrib><creatorcontrib>Usinger, Lotte</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medical case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andresen, Erik Nygaard</au><au>Frydland, Martin</au><au>Usinger, Lotte</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deadly pressure pneumothorax after withdrawal of misplaced feeding tube: a case report</atitle><jtitle>Journal of medical case reports</jtitle><addtitle>J Med Case Rep</addtitle><date>2016-02-03</date><risdate>2016</risdate><volume>10</volume><issue>30</issue><spage>30</spage><epage>30</epage><pages>30-30</pages><artnum>30</artnum><issn>1752-1947</issn><eissn>1752-1947</eissn><abstract>Many patients have a nasogastric feeding tube inserted during admission; however, misplacement is not uncommon. In this case report we present, to the best of our knowledge, the first documented fatality from pressure pneumothorax following nasogastric tube withdrawal.
An 84-year-old Caucasian woman with dysphagia and at risk of aspiration underwent routine insertion of a nasogastric feeding tube; however, shortly after insertion she developed respiratory distress. A chest X-ray showed the tube had been misplaced into our patient's right lung. The tube was removed, but our patient died less than an hour after withdrawal. The autopsy report stated that cause of death was tension pneumothorax, which developed following withdrawal of the misplaced feeding tube.
The indications for insertion of nasogastric feeding tubes are many and the procedure is considered harmless; however, if the tube is misplaced there is good reason to be cautious on removal as this can unmask puncture of the pleura eliciting pneumothorax and, as this case report shows, result in an ultimately deadly tension pneumothorax.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26846268</pmid><doi>10.1186/s13256-016-0813-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged, 80 and over Care and treatment Case Report Case studies Consent Development and progression Device Removal - adverse effects Fatal Outcome Fatalities Female Hospitalization Humans Intubation, Gastrointestinal - adverse effects Lungs Medical Errors - adverse effects Pneumothorax Pneumothorax - etiology Respiratory Insufficiency - etiology Right to die |
| title | Deadly pressure pneumothorax after withdrawal of misplaced feeding tube: a case report |
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