Underwater-seal nasogastric tube drainage to relieve gastric distension caused by air swallowing.
Anaesthesia
; 66(2): 124-6, 2011 Feb.
Article
in En
| MEDLINE
| ID: mdl-21128904
ABSTRACT
Air swallowing can occur as a psychogenic phenomenon, because of abnormal anatomy, or during non-invasive positive pressure ventilation. Gross distension of the stomach with air can have severe consequences for the respiratory and gastrointestinal systems. We report the case of a 62-year-old man with severe dynamic hyperinflation due to chronic obstructive pulmonary disease, who developed respiratory failure requiring intubation a few hours after radical prostatectomy. Following a percutaneous tracheostomy and weaning of sedation on day six, his abdomen began to enlarge progressively. X-rays revealed massive gastric distension due to air swallowing, which continued despite all efforts to optimise therapy. The use of an underwater seal drainage system on a nasogastric tube improved ventilation and ultimately aided weaning from mechanical support.
Full text:
1
Database:
MEDLINE
Main subject:
Aerophagy
Type of study:
Etiology_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Year:
2011
Type:
Article