Document Detail

Pneumothorax complicating small-bore feeding tube placement.
MedLine Citation:
PMID:  1848058     Owner:  NLM     Status:  MEDLINE    
Small-bore Silastic feeding tubes are being used with increasing frequency for short- and long-term enteral hyperalimentation. We present three cases where these flexible tubes were passed into the tracheobronchial tree and then out into the pleural space. The result in each case was a pneumothorax or hydropneumothorax. These cases were collected at one community hospital over a 6-month period. A review of the current literature reveals reports of 10 similar cases. We conclude that, although the exact incidence of pleural complications of small-bore feeding tubes is unknown, it is not insignificant. The traditional methods of assessing proper nasogastric tube placement are inadequate when applied to these small tubes. Only a chest roentgenogram can assure placement in the stomach. Education of hospital staff on methods to avoid malposition of feeding tubes has resulted in an absence of pulmonary complications over a subsequent 1-year period.
G D Wendell; G S Lenchner; R A Promisloff
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Archives of internal medicine     Volume:  151     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-04-10     Completed Date:  1991-04-10     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  599-602     Citation Subset:  AIM; IM    
Division of Pulmonary Diseases, Hahnemann University Hospital, Philadelphia, Pa. 19102-1192.
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MeSH Terms
Aged, 80 and over
Enteral Nutrition / instrumentation*
Hydropneumothorax / etiology,  radiography
Intubation, Gastrointestinal / adverse effects*
Pneumothorax / etiology*,  radiography
Silicone Elastomers
Reg. No./Substance:
0/Silicone Elastomers; 0/Silicones
Comment In:
Arch Intern Med. 1991 Dec;151(12):2473, 2476   [PMID:  1747006 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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