Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 2008 December;74(12) > Minerva Anestesiologica 2008 December;74(12):735-8

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

CASE REPORTS   Freefree

Minerva Anestesiologica 2008 December;74(12):735-8

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Occurrence of a pneumothorax secondary to malpositioned nasogastric tube: a case report

Zausig Y. A., Graf B. M., Gust R.

1 Department of Anesthesiology, University of Regensburg, Regensburg, Germany; 2 Department of Anesthesiology, Siloah and St. Trudpert Hospital, Pforzheim, Germany


PDF


We report on the case of a 79-year-old man undergoing a Whipple operation with postoperative unstable respiratory status. Non-invasive ventilation therapy was started and a nasogastric tube (NGT) was placed to lower the risk of gastric accumulation of air. The NGT was placed following recommended clinical procedures. For further examination of the respiratory status, an X-ray was done, which presented the NGT entering the bronchial tree, following the main bronchus down and a newly occurring pneumothorax in the right lung. The NGT was removed immediately and the pneumothorax was treated by drainage of the pleura. Bronchoscopy showed no evidence of tracheobronchial injury. Antibiotic therapy was started and the patient made a full recovery. This case report should remind medical staff of the potential risk of placing a NGT, and gives advice for proper placement to improve patient safety.

top of page