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LCDR Bruce K. Bohnker, MC
USN Branch Clinic, Naval Station Mayport, Fla

JAMA. 1985;254(1):54-55.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I have read with interest the article by Hand et al¹ entitled "Inadvertent Transbronchial Insertion of Narrow-Bore Feeding Tube Into the Pleural Space." Several comments seem appropriate. Vaughan² reported a somewhat similar case on a patient after left hemiglossectomy and left radical neck dissection with tracheostomy. A fine-bore feeding tube was passed into and through the right main-stem bronchus and into the lung parenchyma. Before the chest radiograph was reviewed, 400 mL of a proprietary nutritive amino acid preparation (Clinifeed) was infused. The patient became hypotensive, cyanotic, tachycardic, and dyspneic, and the physical examination revealed bronchospasm. Emergency medical therapy was begun and the patient made an uneventful recovery.

Several assertions made within the article are not supported by the stated reference. Concerning intracranial passage, Bauzarth³ dealt with an 18-F nasogastric tube passed within a No. 34 Davol-Silastic nasopharyngeal airway. He recommended this to prevent . . . [Full Text PDF of this Article]

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