Document Detail

Accidental pneumothorax from a nasogastric tube in a patient with severe hemineglect: a case report.
MedLine Citation:
PMID:  12161843     Owner:  NLM     Status:  MEDLINE    
Nasogastric tubes are frequently used for nutrition of patients with neurologic diseases. We report an instance of inadvertant placement of a standard nasogastric tube into the left pleural space in a patient with right parietotemporal intracerebral hemorrhage and severe hemineglect on the left side. The 2 confirmatory maneuvers-aspiration of fluid and auscultating the abdomen on insufflating air-were false-positive. We conclude that only radiologic confirmation of the position of nasogastric tubes and the awareness of the associated dangers will help minimize the occurrence of such events in patients with disorders of perception or altered consciousness.
Martin Winterholler; Frank J Erbguth
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  83     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-05     Completed Date:  2002-08-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1173-4     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Neurologische Klinik, Martin-Luther-UniversitäAdat Halle, Germany.
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MeSH Terms
Cerebral Hemorrhage / complications
Cognition Disorders / complications
Hyperesthesia / complications
Intubation, Gastrointestinal / adverse effects*
Pneumothorax / etiology*

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