International Journal of Nursing Education

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Accidental Tracheal Intubation of Feeding Tube


Affiliations
1 JPNATC, AII-India Institute of Medical Sciences, New Delhi, India
     

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Feeding tube insertion is a basic routine procedure. Little has been written on how to check for placement of small bore nasointestinal feeding tubes. A major risk is accidental placement of the tube into the respiratory system. We report a case of accidental tracheal intubation of feeding tube in an intubated, polytrauma patient. The patient was shifted to intensive care unit (ICU) for ventilatory support in the post-operative period. He was weaned off the ventilator and enteral feeding was planned by the third post-operative day. Immediately after feeding tube insertion the patient developed respiratory distress. Mechanical ventilation was resumed. On re examination, the feeding tube was found to be in the trachea. It was immediately removed. The condition of the patient improved thereafter.

Keywords

Feeding Tube, Tracheal Intubation, Respiratory Distress.
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  • Baskin WN. Acute complications associated with bedside placement of feeding tubes. Nutr Clin Pract 2006; 21:40-55.

  • Swiech K, Lancaster DR, Sheehan R. Use of a pressure gauge to differentiate gastric from pulmonary placement of nasoenteral feeding tubes. Appl Nurs Res 1994; 7: 183-9.

  • Metheny N, Dettenmeier P, Hampton K, Wiersema L, Williams P. Detection of inadvertent respiratory placement of small bore feeding tubes: a report of 10 cases. Heart Lung 1990; 631-8.

  • Metheny N. Measures to test placement of nasogastric nasointestinal feeding tubes: a review. Nurs Res 1998; 37; 324-9.

  • Boyes R J, Kruse J A. Nasogastric and nasoenteric intubation. Crit Care Clin 1992; 865-78.

  • Asai T, Stacey M. Confirmation of feeding tube position; how about capnography? (letter). Anaesthesia 1994; 49: 451.


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  • Accidental Tracheal Intubation of Feeding Tube

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Authors

Chhavi Sahwney
JPNATC, AII-India Institute of Medical Sciences, New Delhi, India
Kapil Dev Soni
JPNATC, AII-India Institute of Medical Sciences, New Delhi, India
Pramendra Agrawal
JPNATC, AII-India Institute of Medical Sciences, New Delhi, India

Abstract


Feeding tube insertion is a basic routine procedure. Little has been written on how to check for placement of small bore nasointestinal feeding tubes. A major risk is accidental placement of the tube into the respiratory system. We report a case of accidental tracheal intubation of feeding tube in an intubated, polytrauma patient. The patient was shifted to intensive care unit (ICU) for ventilatory support in the post-operative period. He was weaned off the ventilator and enteral feeding was planned by the third post-operative day. Immediately after feeding tube insertion the patient developed respiratory distress. Mechanical ventilation was resumed. On re examination, the feeding tube was found to be in the trachea. It was immediately removed. The condition of the patient improved thereafter.

Keywords


Feeding Tube, Tracheal Intubation, Respiratory Distress.

References