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Chest, Vol 87, 131-132, Copyright © 1985 by American College of Chest Physicians


ARTICLES

Nasotracheal intubation and pulmonary parenchymal perforation. An unusual complication of naso-enteral feeding with small-diameter feeding tubes

JS Dorsey and J Cogordan

If not used cautiously, the rigid guide wire used with small-diameter feeding tubes can promote nasotracheal intubation in patients with diminished tracheobronchial sensation. Patients with endotracheal tubes are also at risk. To prevent pulmonary complications with small- diameter feeding tubes, the wire introducer should not be advanced beyond the nasopharynx, and x-ray verification of catheter location should be mandatory.


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S. M. Burns, R. Carpenter, C. Blevins, S. Bragg, M. Marshall, L. Browne, M. Perkins, R. Bagby, K. Blackstone, and J. D. Truwit
Detection of Inadvertent Airway Intubation During Gastric Tube Insertion: Capnography Versus a Colorimetric Carbon Dioxide Detector
Am. J. Crit. Care., March 1, 2006; 15(2): 188 - 195.
[Abstract] [Full Text] [PDF]




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