Knotting of Nasogastric Tube Around a Nasotracheal Tube: An Unusual Cause of Hypercapnia in a 3-Month-Old Infant

Melki, Imad; Matar, Nayla; Maalouf, Sabine; Rassi, Simon

doi:10.4037/ajcc2009179

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Cases of Note| March 01 2010

Knotting of Nasogastric Tube Around a Nasotracheal Tube: An Unusual Cause of Hypercapnia in a 3-Month-Old Infant

Imad Melki, MD;

Imad Melki, MD

Imad Melki and Sabine Maalouf are members of the Pediatric Department and Nayla Matar and Simon Rassi are members of the Otolaryngology Head and Neck Surgery Department, Hôtel Dieu de France Hospital, Beirut, Lebanon.

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Nayla Matar, MD;

Nayla Matar, MD

Imad Melki and Sabine Maalouf are members of the Pediatric Department and Nayla Matar and Simon Rassi are members of the Otolaryngology Head and Neck Surgery Department, Hôtel Dieu de France Hospital, Beirut, Lebanon.

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Sabine Maalouf, MD;

Sabine Maalouf, MD

Imad Melki and Sabine Maalouf are members of the Pediatric Department and Nayla Matar and Simon Rassi are members of the Otolaryngology Head and Neck Surgery Department, Hôtel Dieu de France Hospital, Beirut, Lebanon.

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Simon Rassi, MD

Imad Melki and Sabine Maalouf are members of the Pediatric Department and Nayla Matar and Simon Rassi are members of the Otolaryngology Head and Neck Surgery Department, Hôtel Dieu de France Hospital, Beirut, Lebanon.

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Am J Crit Care (2010) 19 (2): 198.

https://doi.org/10.4037/ajcc2009179

A 3-month-old boy was admitted to the intensive care unit because of septic shock; he required immediate intubation and placement of a nasogastric tube. A confirmatory chest radiograph showed that the nasogastric tube was looping in the hypopharynx and needed to be repositioned. During removal of the nasogastric tube, the infant experienced hypercapnia and respiratory distress. These complications were due to looping and knotting of the nasogastric tube around the nasotracheal tube.

2010

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Knotting of Nasogastric Tube Around a Nasotracheal Tube: An Unusual Cause of Hypercapnia in a 3-Month-Old Infant

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