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Case Reports in Critical Care
Volume 2015 (2015), Article ID 690742, 4 pages
Case Report

Tension Pneumothorax and Subcutaneous Emphysema Complicating Insertion of Nasogastric Tube

Critical Care Department, King Fahad Specialist Hospital, P.O. Box 15215, Dammam 31444, Saudi Arabia

Received 5 July 2015; Revised 30 August 2015; Accepted 31 August 2015

Academic Editor: Moritoki Egi

Copyright © 2015 Narjis AL Saif et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Nasogastric tube has a key role in the management of substantial number of hospitalized patients particularly the critically ill. In spite of the apparent simple insertion technique, nasogastric tube placement has its serious perhaps fatal complications which need to be carefully assessed. Pulmonary misplacement and associated complications are commonplace during nasogastric tube procedure. We present a case of tension pneumothorax and massive surgical emphysema in critically ill ventilated patient due to inadvertent nasogastric tube insertion and also discussed the risk factors, complication list, and arrays of techniques for safer tube placement.