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Year 2022, Volume: 39 Issue: 1, 310 - 310, 01.01.2022

Abstract

References

  • 1- Gülsoy Z, Karagözoğlu Ş, Kol İÖ. Nazogastrik Tüpte Oluşan Düğüm: Olgu Sunumu. Turk J Intensive Care. 2019;17:172-5.
  • 2- Özdemir S, Öztürk TC, Öcal O, Metiner Y, Onur ÖE. Nazogastrik sonda malpozisyonu: Olgu sunumu. Turk Aile HekDerg. 2015;19(3):162-4.

Knotted Nasogastric Catheter

Year 2022, Volume: 39 Issue: 1, 310 - 310, 01.01.2022

Abstract

A 64-year-old male patient called the emergency medical service with complaints of respiratory distress and high fever. He was brought to our clinic by the emergency medical service by ambulance. In the ambulance, ventilation was performed with a balloon mask for 10 minutes due to hypoxia. With balloon mask ventilation, his saturation was 70. endotracheal intubation was performed. The patient with a history of coronary artery disease was using 100 mg acetylsalicylic acid per day. It was learned from his anamnesis that the patient, who had cough and high fever for 3 days, had respiratory distress for one day. Vital parameters after intubation were arterial blood pressure 65/40 mmHg, pulse 96/minute, and temperature 38.3 ° C. On physical examination, Glasgow coma score was 5 (E1, M2, V2). There was widespread crackles in the right lung to the respiratory examination. There was distension in the abdominal examination. Among the laboratory parameters, leukocyte was measured as 18 000/µl, neutrophil as 10 500/µL, C-reactive protein as 81 mg/L. Other hematological and biochemical parameters were normal. Computed tomography of the thorax showed extensive consolidation and air bronchograms on the right lung. Empirical antibiotic therapy was initiated.
During the nasogastric catheter application, it was noticed whether the tube encountered resistance and not progressed. When the tube was pulled out, it did not come. It was found that the end of the tube formed a very interesting knot when the oropharynx was controlled and pulled through the mouth with the help of a forceps (Figure 1-2).
Nasogastric catheter (NGS) is used for purposes such as cleaning out the contents of the stomach, preventing aspiration in unconscious patient and providing nutrition (1). Complications may be encountered in nasogastric tube applications (2). Knotting of the tube is a rare condition that may be encountered. It should be considered when resistance is encountered in advancing or withdrawing the nasogastric tube.

References

  • 1- Gülsoy Z, Karagözoğlu Ş, Kol İÖ. Nazogastrik Tüpte Oluşan Düğüm: Olgu Sunumu. Turk J Intensive Care. 2019;17:172-5.
  • 2- Özdemir S, Öztürk TC, Öcal O, Metiner Y, Onur ÖE. Nazogastrik sonda malpozisyonu: Olgu sunumu. Turk Aile HekDerg. 2015;19(3):162-4.
There are 2 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Letter to Editor
Authors

Abuzer Özkan 0000-0002-8053-9975

Serdar Özdemir 0000-0002-6186-6110

Early Pub Date January 3, 2022
Publication Date January 1, 2022
Submission Date May 13, 2021
Acceptance Date May 31, 2021
Published in Issue Year 2022 Volume: 39 Issue: 1

Cite

APA Özkan, A., & Özdemir, S. (2022). Knotted Nasogastric Catheter. Journal of Experimental and Clinical Medicine, 39(1), 310-310.
AMA Özkan A, Özdemir S. Knotted Nasogastric Catheter. J. Exp. Clin. Med. January 2022;39(1):310-310.
Chicago Özkan, Abuzer, and Serdar Özdemir. “Knotted Nasogastric Catheter”. Journal of Experimental and Clinical Medicine 39, no. 1 (January 2022): 310-10.
EndNote Özkan A, Özdemir S (January 1, 2022) Knotted Nasogastric Catheter. Journal of Experimental and Clinical Medicine 39 1 310–310.
IEEE A. Özkan and S. Özdemir, “Knotted Nasogastric Catheter”, J. Exp. Clin. Med., vol. 39, no. 1, pp. 310–310, 2022.
ISNAD Özkan, Abuzer - Özdemir, Serdar. “Knotted Nasogastric Catheter”. Journal of Experimental and Clinical Medicine 39/1 (January 2022), 310-310.
JAMA Özkan A, Özdemir S. Knotted Nasogastric Catheter. J. Exp. Clin. Med. 2022;39:310–310.
MLA Özkan, Abuzer and Serdar Özdemir. “Knotted Nasogastric Catheter”. Journal of Experimental and Clinical Medicine, vol. 39, no. 1, 2022, pp. 310-.
Vancouver Özkan A, Özdemir S. Knotted Nasogastric Catheter. J. Exp. Clin. Med. 2022;39(1):310-.