An unusual case of airway obstruction at the tip of an endotracheal tube caused by insertion of a nasogastric tube |
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Authors: | Kozue Kubo Shinichi Nakao Yasuyo Kawabata Hiroji Nishimae Shinya Masuko Koh Shingu |
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Affiliation: | (1) Department of Anesthesiology, Kansai Medical University, 2-3-1 Shin-machi, Hirakata, Osaka 573-1191, Japan;(2) Department of Anesthesiology, Nagahama Red Cross Hospital, Shiga, Japan |
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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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Keywords: | Airway stenosis Endotracheal tube Nasogastric tube |
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