The use of a Tracheal Tube for Guiding Nasogastric Tube Insertion
Saima, S.; Asai, T.; Okuda, Y.
MASUI. Japanese Journal of Anesthesiology 65(4): 421-423
2016
ISSN/ISBN: 0021-4892 PMID: 27188123 Document Number: 689435
An obese patient was scheduled for shoulder joint surgery under general anesthesia. After induction of anesthesia and tracheal intubation, insertion of a gastric tube was difficult. A new tracheal tube was prepared, the connecter was removed, and the tube was cut longitudinally. The tube was inserted orally into the esophagus. A gastric tube was passed through the nose, and its tip was taken out of the mouth. The tip of the gastric tube was passed through the tracheal tube, and its correct position in the stomach was confirmed by auscultation of the epigastrium. The tracheal tube was carefully taken out from the esophagus leaving the gastric tube in the stomach. The cut tracheal tube was peeled off from the gastric tube. Correct positioning of the gastric tube was re-confirmed.