Misplaced catheter
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Nasogastric tube
Inadvertent Intracranial Placement of a Nasogastric Tube in a Patient With Severe Craniofacial Trauma
- 35 cases of intracranial nasogastric tube insertion have been reported in the international literature. [1] [2]
- A complex craniofacial fracture is the most common predisposing factor.
- Complications include hemiparesis, intracranial bleeding, decerebrate posturing, respiratory arrest, suctioning of brain parenchyma, blindness, loss of the sense of smell, meningitis, decreased mental status, and persistent cerebrospinal fluid fistula.
- Mortality rate of 64%.
References
- ↑ Journal of Oral and Maxillofacial Surgery - http://www.sciencedirect.com/science/journal/02782391
- ↑ Paloma Rodrigues Genú, David Moraes de Oliveira, Ricardo José de Holanda Vasconcellos, Ricardo Viana Bessa Nogueira and Belmiro Cavalcanti do Egito Vasconcelos. Inadvertent intracranial placement of a nasogastric tube in a patient with severe craniofacial trauma: A case report. Journal of Oral and Maxillofacial Surgery. 2004. 62: 1435-1438.