This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (56)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Robert W. Hand, MD; Michael Kempster, MD; Jerrold H. Levy, MD; Peter R. Rogol, MD; Paul Spirn, MD

JAMA. 1984;251(18):2396-2397.

Abstract
Four patients had soft, narrow-bore feeding tubes passed transbronchially into the pleural space. Guide wires were used to aid passage and may have contributed to this complication. The errant positioning of the tube was first noted roentgenographically in each case. Alternate methods of inserting such tubes in patients with altered airway and swallowing reflexes may be needed. Radiographic confirmation of the tube's position is essential before starting tube feedings.

(JAMA 1984;251:2396-2397)

Author Affiliations
From the Pulmonary Unit, Medical Services, Massachusetts General Hospital and Department of Medicine, Harvard Medical School (Drs Hand and Rogol); the Department of Surgery, Massachusetts General Hospital (Dr Kempster); and the Department of Radiology, Brigham and Women's Hospital (Dr Spirn), Boston; and the Department of Anesthesia, Emory University Hospital, Atlanta (Dr Levy).

Footnotes
Reprint requests to Pulmonary Unit, Massachusetts General Hospital, Boston, MA 02114 (Dr Hand).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Monitoring Feeding Tube Placement
Metheny and Meert
Nutr Clin Pract 2004;19:487-495.
ABSTRACT | FULL TEXT  

pH Testing of Feeding-Tube Aspirates to Determine Placement
Metheny et al.
Nutr Clin Pract 1994;9:185-190.
ABSTRACT  

Nasointestinal Tube Placement With a pH Sensor Feeding Tube
Heiselman et al.
JPEN J Parenter Enteral Nutr 1993;17:562-565.
ABSTRACT  

Pneumothorax Complicating Small-Bore Feeding Tube Placement
Wendell et al.
Arch Intern Med 1991;151:599-602.
ABSTRACT  

Thoracic Imaging in the Intensive Care Unit
Wiener et al.
J Intensive Care Med 1989;4:149-165.
ABSTRACT  

Pneumothorax due to Nasogastric Feeding Tubes: Report of Four Cases, Review of the Literature, and Recommendations for Prevention
Roubenoff and Ravich
Arch Intern Med 1989;149:184-188.
ABSTRACT  

Measures to Test Placement of Nasoenteral Feeding Tubes
Metheny et al.
West J Nurs Res 1988;10:367-383.
 

Narrow Bore Nasogastric Feeding Tube Complications: A Literature Review
Bohnker et al.
Nutr Clin Pract 1987;2:203-209.
 

More Cost-Containment Literature Needed
Baumgartner
JPEN J Parenter Enteral Nutr 1987;11:330-331.
 

Nasopulmonary Intubation With Feeding Tubes: Therapeutic Misadventure or Accepted Complication?
Lipman
Nutr Clin Pract 1987;2:45-48.
 

A Technique for Positioning Nasoenteral Feeding Tubes
Raff et al.
JPEN J Parenter Enteral Nutr 1987;11:210-213.
ABSTRACT  

Inexpensive, Safe and Simple Nasoenteral Intubation--An Alternative for the Cost Conscious
Ramos and Lindine
JPEN J Parenter Enteral Nutr 1986;10:78-81.
ABSTRACT  

Pleural Complications of Nasoenteric Feeding Tubes
Valentine and Turner
JPEN J Parenter Enteral Nutr 1985;9:605-607.
ABSTRACT  

Complications During Insertion of Narrow-Bore Feeding Tubes
Alessi et al.
JAMA 1985;254:55-55.
ABSTRACT