Abstract
We report an unusual case of ventilatory impediment caused by the obstruction of an endotracheal tube (ETT) by a nasogastric (NG) tube. A 72-year-old woman with bronchial asthma was scheduled for colostomy closure. An ETT of 7.5-mm internal diameter (ID) could not be advanced, and finally a 5.0-mm ID ETT was placed, because she had post-intubation tracheal stenosis. When an NG tube was inserted after endotracheal intubation, ventilation suddenly became nearly impossible. She was treated for an asthmatic attack, but her respiratory condition did not recover. We then exchanged the ETT for a laryngeal mask airway (LMA) and removed the NG tube. It was suspected that the cause of the airway obstruction was that the NG tube in the esophagus compressed the membranous portion of the stenotic trachea and the tip of the ETT was obstructed.
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References
Brousseau VJ, Kost KM (2006) A rare but serious entity: nasogastric tube syndrome. Otolaryngol Head Neck Surg 135:677–679
Apostolakis LW, Funk GF, Urdaneta LF, McCulloch TM, Jeyapalan MM (2001) The nasogastric tube syndrome: two case reports and review of the literature. Head Neck 23:59–63
Sofferman RA, Hubbell RN (1981) Laryngeal complications of nasogastric tubes. Ann Otol Rhinol Laryngol 90:465–468
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Kubo, K., Nakao, S., Kawabata, Y. et al. An unusual case of airway obstruction at the tip of an endotracheal tube caused by insertion of a nasogastric tube. J Anesth 22, 52–54 (2008). https://doi.org/10.1007/s00540-007-0563-5
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DOI: https://doi.org/10.1007/s00540-007-0563-5