Nasogastric tube induced refractory epistaxis during liver transplantation

doi:10.7575/aiac.abcmed.16.04.04.04

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2023

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“…Prior case studies have demonstrated this phenomenon, leading to difficult-to-control nasal bleeding [6]. One observational study reported that approximately 80% of epistaxis in coagulopathic patients was due to NGT insertion [7]. Notably, the source of the patient's pancytopenia was evaluated with a full work-up; however, all laboratory analysis tested was negative, which pointed to a critical illness-induced pancytopenia seen often in this patient population [8].…”

Section: Discussionmentioning

confidence: 93%

Nasogastric Tube-Induced Catastrophic Airway Compromise Due to a Large Blood Clot

Runge¹,

Salman²,

Kioka³

2023

Cureus

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Nasogastric and orogastric tube (NGT/OGT) insertion is a routine in-hospital procedure used in patients who need enteral feeding, medication administration, and gastric decompression in a patient unable to tolerate per oral administration. NGT insertion has a relatively low complication rate when performed adequately; however, previous studies demonstrate that associated complications range from delicate, simple nose bleeds to more severe conditions such as nasal mucosal bleeding, which can be easily aspirated in a patient with encephalopathy or other conditions associated with the inability to protect the airway. Here we present a case of traumatic NGT insertion causing nasal bleeding, leading to respiratory distress secondary to aspiration of blood clot obscuring the airway.

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Section: Discussionmentioning

confidence: 93%