Jain Bhaskara Pillai1, Annette Vegas, Stephanie Brister. 1. Division of Cardiac Surgery, Peter Munk Cardiac Centre, Toronto General Hospital, 200 Elizabeth Street, Toronto, Canada M5G 2C4. jain_freeman@hotmail.com
Abstract
OBJECTIVES: Insertion of a nasogastric tube, though a common clinical procedure, can produce unexpected complications. We sought to analyse the procedure, and explore means to improve its safety. METHODS: We present a case with a thoracic complication. We review the English literature for the range of complications, and collate all available clinical tests used to confirm enteric placement. RESULTS: We discuss the short-comings of the usual clinical tests and emphasise the more recent, but less mainstream, procedures that introduce more objectivity to the enteric tube placement. CONCLUSIONS: We provide summary points to guide the clinician in everyday practice.
OBJECTIVES: Insertion of a nasogastric tube, though a common clinical procedure, can produce unexpected complications. We sought to analyse the procedure, and explore means to improve its safety. METHODS: We present a case with a thoracic complication. We review the English literature for the range of complications, and collate all available clinical tests used to confirm enteric placement. RESULTS: We discuss the short-comings of the usual clinical tests and emphasise the more recent, but less mainstream, procedures that introduce more objectivity to the enteric tube placement. CONCLUSIONS: We provide summary points to guide the clinician in everyday practice.
Authors: Jae Hee Cho; Hee Man Kim; Sangheun Lee; Yu Jin Kim; Ki Jun Han; Hyeon Geun Cho; Si Young Song Journal: World J Gastroenterol Date: 2013-01-07 Impact factor: 5.742