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2023, Number 1

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Med Crit 2023; 37 (1)

Tension pneumothorax secondary to enteral tube: a case report

Medina RJ, Toledo SO, Gómez FSS, García HE
Full text How to cite this article 10.35366/109965

DOI

DOI: 10.35366/109965
URL: https://dx.doi.org/10.35366/109965

Language: Spanish
References: 9
Page: 56-58
PDF size: 346.86 Kb.


Key words:

pneumothorax, enteral nutrition, critically ill patient.

ABSTRACT

Enteral tube placement is a routine invasive procedure that can present serious complications. We present the case of a 54-year-old man who presented with cardiorespiratory arrest secondary to myocardial infarction and who, after placement of a nasojejunal tube, developed pneumothorax that required removal of the tube, placement of a chest tube and administration of antibiotics. The patient presented adequate lung expansion, which allowed removal of the chest tube six days after its installation, extubation and finally discharge due to improvement. Pneumothorax associated with enteral tube placement occurs in 1.2% of patients. Risk factors are neurological deficit, impaired swallowing and cough reflex. Treatment described in the literature is removal of the tube, use of antibiotics and chest drainage.


REFERENCES

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Med Crit. 2023;37