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[Nasogastric tube syndrome suspected at the end of anesthesia]

Misako Ohshima1, Etsuyo Hori, Akira Suzuki

  • 1Department of Anesthesia and Resuscitation, University Hospital, Hamamatsu University School of Medicine, Hamamatsu 431-3192.

Masui. the Japanese Journal of Anesthesiology
|April 28, 2010
PubMed

The case of a patient who might have developed nasogastric tube syndrome at the end of anesthesia is presented. A 62-year-old woman was scheduled for a general anesthesia with fiberscopic oro-tracheal intubation because of a predicted difficult airway. After the smooth and gentle intubation without any trauma and injury, a nasogastric tube was inserted blindly. At the end of surgery, the anesthesiologists observed the pharyngeal tissue and found significant edema on the epiglottis and arytenoids. Extubation was cancelled and the patient was moved to an intensive care unit for respiratory management. On the next day, fiberscopic observation revealed a complete recovery and the endotracheal tube was removed without any difficulty. We strongly suspected the pharyngeal injury as acute nasogastric tube syndrome and an attention to this rare complication is required by anesthesiologists.

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