Enthusiastic NG insertion (RLL)

Case contributed by Dr Jeremy Jones

Presentation

NG tube check in a patient with poor oral intake and an unsafe swallow following a stroke.

Patient Data

Age: 85
Gender: Female

NG tube placement

Modality: X-ray

NG tube in the right lower lobe.

Case Discussion

Malposition of the NG tube.  Given the bronchial anatomy, if an NG tube enters the trachea, it is most likely to end up in the right lower lobe because its bronchus is most vertical and in line with the trachea.

The tip of the tube appears to be below the diaphragm, but this is just because the tube as entered the posterior segment and is projected below the level of the anterior diaphragm.

Certainly an enthusiastic attempt at NG insertion.

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Case Information

rID: 13740
Case created: 11th May 2011
Last edited: 16th Oct 2015
System: Chest
Inclusion in quiz mode: Included

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