Nasogastric tube withdrawal: An unusual cause of accidental extubation and near cardiac arrest in an infant
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Date
2008
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JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
Abstract
INSERTING A NASOGASTRIC TUBE (NGT) is one of the most frequent procedures performed by anesthesiologists during perioperative care of the patient. There have been numerous reports of major complications resulting from NGT insertion that include intracranial placement, digestive tract injury, misplacement to the trachea and lung with associated complications, intussusception resulting in bowel obstruction, and massive hemorrhage.(1-6) Rare reports of airway compromise in adult patients after NGT insertion also have been reported.(7-9) A rare incident in which accidental extubation occurred while withdrawing an NGT in an infant scheduled for cardiac magnetic resonance imaging (cMRI) that resulted in rapid desaturation and near cardiac arrest is described, along with the possible mechanisms and ways to prevent such incidents while anesthetizing an infant in such remote locations.
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Keywords
Critical Care
Citation
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA. 22; 1; 105-107