An Unusual Complication of Naso‐enteral Feeding with Small‐diameter Feeding Tubes
An Unusual Complication of Naso‐enteral Feeding with Small‐diameter Feeding Tubes
复制标题
小直径饲管鼻肠饲喂的罕见并发症
作者：
G. Schorlemmer;J. Battaglini
经鼻气管插管与各种类型的饲管的发生是众所周知的，但缺乏记录。目前可用于肠内高营养的小直径饲管可能更容易发生这种并发症，因为它们的尺寸小，并且放置所需的刚性导丝。当将这些插管放置在有风险的患者体内时，高度怀疑，使用导丝仅通过鼻咽，使用前对插管位置进行X线验证，应避免这种可能危及生命的错误。
The occurrence of nasotracheal intubation with feeding tubes of various types is well known but poorly documented. The small-diameter feeding tubes currently available for enteral hyperalimentation may be more prone to this complication because of their small size and the rigid guide wire which is required for placement. A high index of suspicion when placing these tubes in patients at risk, use of the wire guide to pass the nasopharynx only, and x-ray verification of tube location prior to usage should avert this potentially life-threatening mistake.