Gastric rupture following nasopharyngeal catheter oxygen delivery-a report of two cases.

Authors:
M Smith
M Smith
The National Hospital for Neurology and Neurosurgery
United Kingdom

Anaesth Intensive Care 2015 Mar;43(2):244-8

Department of Surgery, Cabrini Hospital, Malvern, Victoria.

Iatrogenic gastric distension and subsequent rupture following nasal or nasopharyngeal catheter oxygen delivery is a rare but life-threatening condition that requires urgent laparotomy. We report two cases recently encountered at our institution. Both patients exhibited symptoms of abdominal pain and distension following oxygen delivery involving a nasopharyngeal catheter during procedural sedation. Oxygen flow rates were 4 l/minute in both cases. The diagnosis was made by urgent imaging. Both patients survived following laparotomy and repair of gastric rupture. Seventeen cases have been reported previously in the literature. We recommend avoidance of nasal or nasopharyngeal catheters and the use of alternative oxygen delivery methods such as nasal prongs and face masks.

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http://dx.doi.org/10.1177/0310057X1504300216DOI Listing
March 2015
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References

(Supplied by CrossRef)
Article in Br J Surg
Evans D.S. et al.
Br J Surg 1968
Article in South Med J
LeDoux M.S. et al.
South Med J 1991
Article in Br Med J (Clin Res Ed)
McQueen M.M. et al.
Br Med J (Clin Res Ed) 1982
Article in Lancet
Pulzer F. et al.
Lancet 2004
Article in Can J Surg
Wilson T.S. et al.
Can J Surg 1966
Article in Intensive Care Med
Linch D. et al.
Intensive Care Med 1979
Article in Ann Emerg Med
Liu N. et al.
Ann Emerg Med 1996
Article in Acta Chir Scand
Matikainen M. et al.
Acta Chir Scand 1978
Article in Ann Emerg Med
Mills S.A. et al.
Ann Emerg Med 1983
Article in J Emerg Med
Offerman S.R. et al.
J Emerg Med 2001
Article in Resuscitation
Reiger J. et al.
Resuscitation 1997

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