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Misplaced and Knotted Nasogastric Tubes in Infants and Children: Report of Two Cases

Year: 2026

Type: article

Abstract: Nasogastric (NG) tubes are frequently placed during intraoperative care to decompress the gastrointestinal tract and prevent postoperative complications in patients with gastrointestinal obstruction or ileus. Although placement during anesthetic care is generally straightforward, misplacement or knotting of the NG tube may occur. We present two cases in pediatric-aged patients where difficulties were noted with passing and/or removal of the NG tube. Techniques for placement of NG tubes are reviewed, previous reports of misplacement or difficulties with placement presented, and strategies to prevent these complications discussed.

Source: Journal of Medical Cases

DOI: 10.14740/jmc5272

Authors: Mitchell Hughes, Kortney Holland, Joseph D. Tobias

Institutions: Ohio University, Nationwide Children's Hospital, The Ohio State University

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7127411086

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