Soto MJC, Luviano GJA, García RJC, Torres CM

Language: Spanish
References: 9
Page: 42-46
PDF size: 57.57 Kb.

ABSTRACT

The installation of nasoenteral feeding tubes is a frequent procedure in the critically ill patient, could be pre or pos-pyloric. The technique of the installation is easy, but the complications can be dangerous, like esophagitis, esophageal perforation and the bronchial installation. We present the cases of two patients with trauma brain injury, one of them with epidural haematoma and neurologic sequels of hemiplegic. His treatment consisted in enteral nutrition by the orogastric tube, being necessary to change it to nasogastric via, having doubt about its correct installation, it was realized a radiographic control, that showed the tube in right bronchi, a zone of opacification and neumothorax. The tube was removed, neumothorax was treated, it was realized a tracheotomy and gastrostomy with satisfactory evolution. In the second case, the patient had an acute phase with cerebral oedema, treated with conventional measures, mechanical ventilation and sedation with midazolam, initially with nasogastric feeding tube, by high gastric residual, it was decide to change to nasojejunal tube, the radiographic control showed the tube in right bronchi. Conclusions: The neurologic damage or sedation in critically patients increases the risk of putting nasoenteral tube in right bronchi. It was make a revision of literature about the technique and complications in the installation of nasoenteral tubes emitting recommendations.

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