0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Complications During Insertion of Narrow-Bore Feeding Tubes

David M. Alessi, MD; M. Michael Shabot, MD, FACS; Rom R. Karin, MD
JAMA. 1985;254(1):55. doi:10.1001/jama.1985.03360010060014.
Text Size: A A A
Published online

To the Editor.—  Hand et al1 described inadvertent transbronchial insertion of narrow-bore feeding tubes into the pleural space. Schorlemmer2 was the first to describe this. His three patients all suffered a pneumothorax after the feeding tube was inserted with a wire guide. A depressed gag reflex allowed for easy insertion into the larynx and the wire guide was implicated in perforating the pleura. He suggested immediate radiographic confirmation of tube location before commencement of feedings, and use of the wire guide only for passage of the nasopharynx.Having experienced similar occurrences at our institution (D.M.A., G. Berci, MD, unpublished data, January 1984) we advocate not using the wire guide at all. To pass the tube, we attach the tip of a small-bore feeding tube to the tip of a rigid Levine nasogastric tube with half of a gelatin capsule (as used for encapsulated medicine).3 The rigid nasogastric

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();