Inadvertent insertion of nasogastric tube into the brain stem and spinal cord after endoscopic skull base surgery

被引：31

作者：

Hanna, Amgad S. ^{[2
]}

Grindle, Christopher R. ^{[3
]}

Patel, Alpesh A. ^{[4
]}

Rosen, Marc R. ^{[3
]}

Evans, James J. ^{[1
]}

机构：

[1] Thomas Jefferson Univ Hosp, Dept Neurol Surg, Philadelphia, PA 19107 USA

[2] Univ Wisconsin, Sch Med & Publ Hlth, Dept Neurol Surg, Madison, WI USA

[3] Thomas Jefferson Univ Hosp, Dept Otolatyngol Head & Neck Surg, Philadelphia, PA 19107 USA

[4] Univ Utah, Sch Med, Dept Orthopaed Surg, Salt Lake City, UT USA

来源：

AMERICAN JOURNAL OF OTOLARYNGOLOGY | 2012年 / 33卷 / 01期

关键词：

INTRACRANIAL PLACEMENT; PNEUMOTHORAX; COMPLICATION;

D O I：

10.1016/j.amjoto.2011.04.001

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

A significant number of neurosurgical patients require feeding tube placement via a nasogastric route. It is used as a temporary access for enteral feeding until patients are able to swallow or receive permanent access. Despite how commonly feeding tubes are used, they are not without potential complications. We report a case of inadvertent placement of small-bore feeding tube into the brain stem and spinal cord in a patient with a history of previous endoscopic transnasal resection of clival chordoma. We discuss the management of this complication and the strategies that have been developed to avoid this complication in the future. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：178 / 180

页数：3

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