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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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Am J Crit CareHome page
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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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2002 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.