Knotting of a nasogastric tube

Litigation and the older anaesthetist

“…8). Similar cases of knotting within a patient have been reported involving nasogastric [1], epidural [2] and urinary [3] catheters, and may require invasive methods of removal. We wish to remind anaesthetists that difficulty in removing a tube may indicate knotting, predisposing the patient to trauma.…”

“…We thank you for bringing this to our attention. We value Morris and Gray's in-depth article on the organisation and planning of anaesthesia for emergency surgery [1]. We agree with the limitations of the ASA scoring system set out within the article and have noted that compounding these factors is the frequent misquoting of the ASA 5 grade, both by clinicians and textbooks.…”

Removal of self-knotted nasogastric tube Technical Note

“…Although numerous complications of gastric tube insertion have been reported [1][2][3]5,9,10 , including knotting around endotracheal tubes 2 , NGT coiling or knotting is an uncommon occurrence, and is more commonly seen with small-diameter tubes 3,5 . This case report serves as a reminder that this can occur with large-bore feeding tubes as well.…”

Delirium in Immediate Postoperative Period in a Patient Operated for Laparoscopic Cholecystectomy: A Case Report

“…Our case reflects that simple things like nasogastric tube placement can lead to delirium and agitation, and can be serious if not detected in time. We did not find any similar case like this, though there were cases reports describing difficulty in removing nasogastric tube in the postoperative period [8,9].…”