Malpositioned nasogastric tube

Case contributed by Dr Henry Knipe

Presentation

Obtunded patient. Intubated.

Patient Data

Age: 20 years
Gender: Male
X-ray
Lungs and pleural spaces are clear. Cardiomediastinal contour is unremarkable allowing for patient rotation. ETT tip between the medial clavicles. Nasogastric tube tip is kinked back on itself at the gastro-esophageal junction and the tip lies in the mid-esophagus. Defibrillator pad lies over the right chest.

Case Discussion

Assessing lines and tubes is important on every chest x-ray, and just as important is informing the treating doctor of any malposition.
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Case information

rID: 53534
Published: 23rd May 2017
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Excluded

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