Abstract |
Tracheopulmonary intubation is the most common misplacement site for narrow-bore feeding tube and it might be associated with severe pleuro-pulmonary complications. A 38-year-old female with a severe bilateral pneumonia and acute respiratory insufficiency was admitted in the ICU, intubated, and mechanically ventilated. Few hours after the insertion of a narrow-bore feeding tube the patient's oxygen saturation dropped with hypotension and tachycardia. A large left-side hydropneumothorax developed requiring a chest tube. Air-leakage was important and bronchoscopic implant of one-way endobronchial valve was accomplished. Immediate and substantial decrease of air-leakage was observed, and it completely stopped after 5 days; as soon as the patient was extubated. Endobrochial one-way valve, specifically designed for bronchoscopic lung volume reduction, resulted in being safe and effective to control a significant and prolonged air-leakage due to a malposition of a narrow-bore feeding tube.
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Authors | Tiziano De Giacomo, Federico Venuta, Daniele Diso, Giorgio Furio Coloni |
Journal | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
(Eur J Cardiothorac Surg)
Vol. 30
Issue 5
Pg. 811-2
(Nov 2006)
ISSN: 1010-7940 [Print] Germany |
PMID | 16971135
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Air
- Bronchoscopy
- Enteral Nutrition
(adverse effects)
- Female
- Foreign Bodies
(diagnostic imaging, etiology, therapy)
- Humans
- Hydropneumothorax
(diagnostic imaging, etiology, therapy)
- Intubation, Gastrointestinal
(adverse effects)
- Radiography
- Respiratory System
(diagnostic imaging)
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