- 期刊
Accidental Entry of Nasogastric Tube Into the Trachea in an Anesthetized and Intubated Patient, Breathing Circuit Leakage Was the First Sign-A Case Report
摘要
There exists a false impression that the presence of a cuffed endotracheal tube (ETT) will stop the nasogastric tube entering into the trachea; however, the presence of an ETT, which keeps the glottis open, is actually one of the risk factors for misplacement of a nasogastric tube into the trachea. Here, we present a case of accidental misplacement of a nasogastric tube into the trachea with an ETT in place, in which no resistance was felt during insertion of the nasogastric tube. The breathing circuit leak alarm or a drop of the ascending bellow and the appearance of water vapor in the nasogastric tube may be initial signs of nasogastric tube misplacement into the trachea in anesthetized patients during mechanical ventilation.
延伸閱讀
- Jan, W. L., Wu, C. H., Chang, C. C., & Chen, H. C. (2020). Gradual Development of Stricture Following Gastric Tube for Esophageal Reconstruction and Salvage Reconstruction Using Pedicled Colon Flap with Supercharge to Neck Vessels-A Case Report and Literature Review. 臺灣整形外科醫學會雜誌, 29(1), 54-60. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-202003-202005070009-202005070009-54-60
- Wu, T. S., Wu, K. L., Wu, Z. F., Lai, H. C., & Lu, C. Y. (2021). A Modified Modality for Intubation and Check the Position of Intraoperative Neuromonitoring Endotracheal Tube for Thyroidectomy by Trachway. Journal of Medical Sciences, 41(4), 213-214. https://doi.org/10.4103/jmedsci.jmedsci_123_20
- 王明、周教鵬（1991）。Misplacement of Nasogastric Tube: Case Report and Review of the Literature。Journal of Medical Sciences，12(3)，207-210。https://www.airitilibrary.com/Article/Detail?DocID=10114564-199112-201307080011-201307080011-207-210
- Chen, W. Y., Lin, J. A., Chen, H. L., Wong, C. S., Ho, S. T., & Lu, C. C. (2004). Pneumothorax Associated with Tube Exchanger-aided Intubation Following LMA-Fastrach(superscript TM) Placement in a Patient during Anesthesia Induction-A Case Report. Acta Anaesthesiologica Taiwanica, 42(4), 227-231. https://www.airitilibrary.com/Article/Detail?DocID=02541319-200412-42-4-227-231-a
- Lin, L. F., Su, S. H., Ko, K. C., & Tsai, Y. M. (1999). Tube Rupture and Extrusion after Percutaneous Endoscopic Gastrostomy Managed by Immediate Endoscopic Tube Replacement: Report of a Case. 中華民國消化系醫學雜誌, 16(4), 270-274. https://doi.org/10.6557/GJTb.199912_16(4).0004