Has anyone seen an increase in pneumothorax post NGT insertion? We have had a spate of these recently with the Halyard NGTs (formally corflo). I’m investigating but having any info on trends nationally would be a huge help.
I have ( thankfully) only seen one.
This was with a medicina tube but I am afraid it is not really the tube’s fault.
It is more to do with the choice of patient and the state of their lungs.
This particular pt was a very elderly lady with end stage COPD. So her lungs were extremely friable.
May be more to do with the type of patient as opposed to the type of tube?
Thank you for responding Liz. These have been a mixture of patients with varying co-morbidities, inserted in different areas by different staff some of whom are very experienced with insertion. The only thing in common so far is the tube. 50% roughly of cases report coughing/agitation. A couple report resistance felt. My gut tells me that these are due to excessive force when resistance is felt. I’m doing further analysis with medical physics but am getting strong push back to remove all tubes and switch brands which obviously takes time. We are reporting to MHRA as well.
Before these incidents I had only ever seen one in my whole career! Literally pulling my hair out.