2023, Number 1
<< Back
Med Crit 2023; 37 (1)
Tension pneumothorax secondary to enteral tube: a case report
Medina RJ, Toledo SO, Gómez FSS, García HE
Language: Spanish
References: 9
Page: 56-58
PDF size: 346.86 Kb.
ABSTRACT
Enteral tube placement is a routine invasive procedure that can present serious complications. We present the case of a 54-year-old man who presented with cardiorespiratory arrest secondary to myocardial infarction and who, after placement of a nasojejunal tube, developed pneumothorax that required removal of the tube, placement of a chest tube and administration of antibiotics. The patient presented adequate lung expansion, which allowed removal of the chest tube six days after its installation, extubation and finally discharge due to improvement. Pneumothorax associated with enteral tube placement occurs in 1.2% of patients. Risk factors are neurological deficit, impaired swallowing and cough reflex. Treatment described in the literature is removal of the tube, use of antibiotics and chest drainage.
REFERENCES
De Waele E, Malbrain MLNG, Spapen H. Nutrition in sepsis: a bench-to-bedside review. Nutrients. 2020;12(2):395.
Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019;38(1):48-79.
Tatsumi H. Enteral tolerance in critically ill patients. J Intensive Care. 2019;7:30.
Niv E, Fireman Z, Vaisman N. Post-pyloric feeding. World J Gastroenterol. 2009;15(11):1281-1288.
Soto MJC, Luviano GJA, García RJC, Torres CM. Instalación bronquial de sondas nasoenterales. Presentación de dos casos y revisión de la literatura. Med Crit. 2010;24(2):94-98.
Loyola-García U, Lozano-Corona R, Andrade-Bucio JA, Jasso-Barranco R, Colín-Castañeda D. Perforación pulmonar secundaria a colocación de sonda nasoenteral fallida. Neumol Cir Torax. 2012;71(3):232-235.
de Aguilar-Nascimento JE, Kudsk KA. Clinical costs of feeding tube placement. JPEN J Parenter Enteral Nutr. 2007;31(4):269-273.
Lo JO, Wu V, Reh D, Nadig S, Wax MK. Diagnosis and management of a misplaced nasogastric tube into the pulmonary pleura. Arch Otolaryngol Head Neck Surg. 2008;134(5):547-550.
James RH. An unusual complication of passing a narrow bore nasogastric tube. Anaesthesia. 1978;33(8):716-718.