Anesth Analg 2002;94:1659-1660
© 2002 International Anesthesia Research Society
CASE REPORTS
Nasogastric Tube Knotting Over the Epiglottis: A Cause of Respiratory Distress
Anil Agarwal, MD,
Atul Gaur, MD,
Dinesh Sahu, MD,
Prabhat K. Singh, MD, and
Chandra K. Pandey, MD
Department of Anesthesia, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
Address correspondence and reprint requests to Anil Agarwal, MD, Type IV/48, SGPGIMS Campus, Lucknow 226 014, India. Address e-mail to aagarwal{at}sgpgi.ac.in
IMPLICATIONS: Nasogastric tube placement can cause ulceration and bleeding from the nose, pharynx, esophagus, and stomach. Its accidental placement into the tracheopulmonary system may lead to pneumothorax, hemothorax, or even death. We report a case of its knotting over the epiglottis, leading to life-threatening respiratory distress.
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M. H. Trujillo, C. F. Fragachan, F. Tortoledo, and F. Ceballos
"Lariat loop" knotting of a nasogastric tube: an ounce of prevention.
Am. J. Crit. Care.,
July 1, 2006;
15(4):
413 - 414.
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