Gastric rupture following nasopharyngeal catheter oxygen delivery-a report of two cases

被引：23

作者：

Yao, H. H. I. ^{[1
]}

Tuck, M. V. ^{[2
]}

McNally, C. ^{[2
]}

Smith, M. ^{[1
]}

Usatoff, V. ^{[1
]}

机构：

[1] Cabrini Hosp, Dept Surg, Malvern, Vic, Australia

[2] Cabrini Hosp, Dept Anaesthesia & Pain Management, Malvern, Vic, Australia

来源：

ANAESTHESIA AND INTENSIVE CARE | 2015年 / 43卷 / 02期

关键词：

gastric dilation; abdominal pain; iatrogenic disease; nasopharynx; INADVERTENT ESOPHAGEAL INTUBATION; TO-MOUTH RESUSCITATION; STOMACH RUPTURE; NASAL CATHETER; CARDIOPULMONARY-RESUSCITATION; TENSION PNEUMOPERITONEUM; FIBEROPTIC INTUBATION; COMPLICATION; THERAPY; PERFORATION;

D O I：

10.1177/0310057X1504300216

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Iatrogenic gastric distension and subsequent rupture following nasal or nasopharyngeal catheter oxygen delivery is a rare but life-threatening condition that requires urgent laparotomy. We report two cases recently encountered at our institution. Both patients exhibited symptoms of abdominal pain and distension following oxygen delivery involving a nasopharyngeal catheter during procedural sedation. Oxygen flow rates were 4 l/minute in both cases. The diagnosis was made by urgent imaging. Both patients survived following laparotomy and repair of gastric rupture. Seventeen cases have been reported previously in the literature. We recommend avoidance of nasal or nasopharyngeal catheters and the use of alternative oxygen delivery methods such as nasal prongs and face masks.

引用

页码：244 / 248

页数：5

共 46 条

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