how can this happen

Feb 14, 2009 09:44 AM

by marina17

pegtube incertion ended up in lung?????

DaretoDreamRN · Feb 14, 2009, 10:16 AM

Re: how can this happen

I'd like to know tooo??????????

core0 · Feb 14, 2009, 11:55 AM

Re: how can this happen

Originally Posted by marina17

pegtube incertion ended up in lung?????

IR or GI?

David Carpenter, PA-C

pricklypear · Feb 14, 2009, 12:19 PM

Re: how can this happen

Are you sure you don't mean an NG (nasogastric)tube? I really don't think it's even remotely possible that a PEG (percutaneous endoscopic gastrostomy) tube could end up being placed in the lung. Lots of people get NGs, Dobhoffs, PEGs and JTubes mixed up.

Is the tube entering the body through the nose or the abdomen?

core0 · Feb 14, 2009, 03:25 PM

Re: how can this happen

Originally Posted by pricklypear

Are you sure you don't mean an NG (nasogastric)tube? I really don't think it's even remotely possible that a PEG (percutaneous endoscopic gastrostomy) tube could end up being placed in the lung. Lots of people get NGs, Dobhoffs, PEGs and JTubes mixed up.

Is the tube entering the body through the nose or the abdomen?

I didn't think about it being an NG tube. I've seen really high PEG tubes put in by IR that were right under the ribs. Theoretically it could end up in the lung but that should be apparent. On the other hand working in an academic medical center I could totally believe that this could happen.

David Carpenter, PA-C

pricklypear · Feb 14, 2009, 04:40 PM

Re: how can this happen

I haven't seen a PEG placed recently, but they used to be placed only with the help of endoscopy. The endoscopy tube would be inserted into the stomach (no mistaking it for the lung), the stomach expanded with air, the tube introduced percutaneously and observed in the stomach, and finally the bulb filled.

NGs, on the other hand, end up in all kinds of weird places. I even heard about one ending up in the brain of a patient who had crainiofacial surgery.

CathyLew · Feb 14, 2009, 05:18 PM

Re: how can this happen

Originally Posted by marina17

pegtube incertion ended up in lung?????

yikes. you mean like giving the pt a pnumo?

*diane227* · Feb 14, 2009, 05:36 PM

Re: how can this happen

When you are placing an NG tube on anyone with facial trauma, you must go through the mouth and not the nose. If the patient has a basilar skull fracture you run the risk of having the tube go into the brain cavity.

core0 · Feb 14, 2009, 05:50 PM

Re: how can this happen

Originally Posted by pricklypear

I haven't seen a PEG placed recently, but they used to be placed only with the help of endoscopy. The endoscopy tube would be inserted into the stomach (no mistaking it for the lung), the stomach expanded with air, the tube introduced percutaneously and observed in the stomach, and finally the bulb filled.

NGs, on the other hand, end up in all kinds of weird places. I even heard about one ending up in the brain of a patient who had crainiofacial surgery.

With IR they insuflate the stomach with an NG like device and then use a needle to enter the stomach from the outside to introduce the PEG. I can see transecting the lung if someone really doesn't know what they are doing. Going between the ribs would be the first indication.

David Carpenter, PA-C

marina17 · Feb 14, 2009, 07:48 PM

Re: how can this happen

Originally Posted by pricklypear

Are you sure you don't mean an NG (nasogastric)tube? I really don't think it's even remotely possible that a PEG (percutaneous endoscopic gastrostomy) tube could end up being placed in the lung. Lots of people get NGs, Dobhoffs, PEGs and JTubes mixed up.

Is the tube entering the body through the nose or the abdomen?

entering the abdomen.....this was replacing a pegtube...due to the old one being occluded...followed all procedures..stop was at 6 cm mark...18 fr/15cc ballon....done many times before on others?????

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how can this happen

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