Repeated lung lavage with extracorporeal membrane oxygenation treating severe acute respiratory distress syndrome due to nasogastric tube malposition for enternal nutrition: a case report.

Abstract

Enternal nutritional support, a frequently applied technique for providing nutrition and energy, played a pivotal role in the treatment of high risk patients. However, severe complications induced by malposition of nasogastric tube caused great danger and even death to the patients. In this case report, we present a patient with severe acute respiratory distress syndrome (ARDS) induced by bronchopleural fistula (BPF) due to malposition of nasogastric tube. Repeated lung lavage combined with extracorporeal membrane oxygenation (ECMO) was performed after transferring to the ICU of our hospital. Finally, the patient recovered and discharged 7 days after admission.

• Authors: Xiaoming Kao, Wenkui Yu, Weiming Zhu, Ning Li, Jieshou Li
• Journal: Asia Pacific journal of clinical nutrition (Asia Pac J Clin Nutr) Vol. 21 Issue 4 Pg. 638-41 ( 2012) ISSN: 0964-7058 [Print] China
• PMID: 23017323 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Bronchi (injuries)
• Bronchial Fistula (etiology, physiopathology)
• Bronchoalveolar Lavage
• Enteral Nutrition
• Extracorporeal Membrane Oxygenation
• Food, Formulated (adverse effects)
• Humans
• Intubation, Gastrointestinal (adverse effects)
• Male
• Medical Errors (adverse effects)
• Paracentesis
• Pleura (injuries)
• Pleural Effusion (etiology, physiopathology)
• Respiratory Distress Syndrome (etiology, physiopathology, therapy)
• Severity of Illness Index
• Treatment Outcome