Quote from Hannahrn
I realize that the tube may inadvertently advance into the trachea rather than the esophagus. Keeping in mind how difficult it is to intubate a patient's trachea...I guess I didn't provide enough details: we (myself and another RN) re-inserted the tube 5 TIMES and intubated the trachea every single time. This was using an NGT with a stylet. The chances of intubating the trachea without the use of a laryngoscope is so slim! I guess what I am worried about is...could the child have some deformity of the trachea/esophagus OR could I have perforated the esophagus on my first attempt thereby forcing the tube into the R mainstem? WHat are your thoughts and has this situation ever happened to anyone else? Thanks
I've been out of the NICU for a while, but I've never heard of inserting an NG tube with a stylet. Is this a regular feeding tube?
I do recall placing a feeding tube into the trachea once. The baby coughed and sputtered and cried a very hoarse cry. It was obvious that the tube was misplaced, and I removed it immediately.
I suppose that your baby could possibly have a T-E fistula which would make mis-placing the NG tube more likely. But you raise an important point about always checking the placement of an NG tube.