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Should Simple And Common Procedures Be Taken Lightly?: Nasobronchial Feeding: A Case Report

机译:是否应轻而易举地采取简单和常见的程序?:鼻支气管喂养:一例病例报告

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Adult respiratory distress syndrome is a severe form of hypoxemic respiratory failure. It is associated with a number of clinical situations. Aspiration of gastric contents is one of them causes acute lung inury. Vomitig or regurgitation is the usual mechanism responsible for it .I report a case in which patient was fed with nasogastric tube placed in tracheobronchial tree. Introduction Nasogastric tube, in addition to its other functions, is used to feed the patient that cannot take food by the mouth. Its proper placement in the stomach should be checked before starting feed. Failure to recognize its proper placement can result in life threating situation i.e., food can damage the breathing system resulting in ARDS. Case Report A 69 years old male patient known case of Diabetes Mellitus, Hypertension, Chronic Renal Failure and operated Abdominal Aortic Aneurysm was fed with an unknown quantity ( of NovasourceTM renal:NOVARTIS) through nasogastric tube placed in the tracheobronchial tree. Soon after feeding patient developed respiratory distress and an immediate x-ray chest showed nasogastric tube placed into the left bronchus as shown in figure 1.
机译:成人呼吸窘迫综合征是一种低氧血症性呼吸衰竭的严重形式。它与许多临床情况相关。胃内容物的吸入是引起急性肺尿毒的原因之一。呕吐或反流是造成这种情况的常见原因。我报告了一例,患者被用气管支气管树放置的鼻胃管喂食。简介鼻胃管除具有其他功能外,还用于为无法通过口进食的患者提供食物。开始喂食前,应检查其在胃中的正确放置。无法正确识别其放置位置可能会危及生命,即食物会损坏呼吸系统,导致ARDS。病例报告一名69岁男性患者,已知糖尿病,高血压,慢性肾功能衰竭和经手术的腹主动脉瘤病例,通过放置在气管支气管树中的鼻胃管饲喂了未知量的(NovasourceTM肾脏:NOVARTIS)。进食后不久,患者出现呼吸窘迫,立即进行X射线胸片检查显示,鼻胃管置于左支气管中,如图1所示。

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