Case Report
Tension Pneumothorax and Subcutaneous Emphysema Complicating Insertion of Nasogastric Tube
Table 2
Factors increasing the risk of nasogastric tube misplacement.
| NGT factors | Technique factors | Patient factors |
| (i) Fine bore | (i) Inexperienced operator | (i) Altered mental status | (ii) Stiff monofilament core | (ii) Incorrect patient position | (ii) Critically ill patients | (iii) Stiffening wire | (iii) Blind insertion | (iii) Endotracheal intubation | (iv) Absent radiopaque marker | (iv) Incorrect NGT length | (iv) Tracheostomy | (v) Flexible polymer constriction | (v) Repeated attempts | (v) Use of sedation | | (vi) Insufficient lubricant | (vi) Use of neuromuscular blocker agents | | (vii) Anatomical facial abnormalities | | (viii) Facial trauma/inhalation injury | | (ix) Anticoagulation/thrombophilia | | (x) Upper airway/esophageal injury | | (xi) Nasopharyngeal pathology | | (xii) Following lung transplant |
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