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Updated: Oct 22, 2025
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Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
Published on: August 2, 2024
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Inadvertent Nasogastric Tube Placement into the Left Bronchial Tree.
Ahmed Gohar1, Fady Jamous1,2
1Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Summary
Blind nasogastric tube insertion can lead to serious complications like bronchial misplacement, causing lung injury and pneumothorax. Accurate confirmation methods are crucial to prevent patient harm.
Area of Science:
- Medicine
- Clinical Procedures
- Patient Safety
Background:
- Nasogastric tube (NGT) insertion is a common procedure in healthcare settings.
- Blind insertion is frequently performed by nurses and physicians.
- Complications can arise from improper NGT placement.
Observation:
- A case of NGT misplacement into the bronchial tree is reported.
- This misplacement resulted in parenchymal lung injury.
- Pneumothorax was a significant complication observed.
Findings:
- Blind NGT insertion carries risks of airway misplacement.
- Radiographic confirmation can have interpretation pitfalls.
- Prompt identification of misplacement is vital.
Implications:
- Highlights the need for rigorous NGT placement verification protocols.
- Emphasizes training for healthcare providers on confirmation techniques.
- Underscores the importance of vigilance to prevent severe patient harm.
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