An unusual malposition of the nasogastric tube in the pleural space: a case report

Abstract

Nasogastric Tubes (NGT) are widely used in hospitals, e.g. for the administration of nutrients or drugs and gastric release after major surgeries. Blind insertion of these tubes is usually performed by nurses, residents, and other health care providers. In this case report, we present an incident of misplacement of the NGT, located in the pleural space, and causing pneumothorax. NGT can be inserted accidentally into the airways leading to complications like pneumonia, pneumothorax, and even death. Mechanically ventilated patients are at high risk of having an NGT misplaced, since they often have reduced consciousness and weak cough reflex.

Keywords

• Naso-gastric tube
• pneumothorax
• coughing reflex