PEDIATRICS Vol. 87 No. 1 January 1991, pp. 113-114
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Does Nasogastric Tube Cause Pulmonary Aspiration in Children?

JEHUDA ADONIRAM BAR-MAOR MD1 and MENACHEM LAM MD1

1 Department of Pediatric Surgery, Rambam Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

Aspiration pneumonia due to gastroesophageal reflux is a serious and frequently encountered problem in pediatrics and pediatric surgery.1-3 Occasionally aspiration may be silent and minimal, yet chronic unexplained respiratory symptoms may appear.4

A number of authors have reported another cause of aspiration in children, namely aspiration of gastric juice while the child is receiving mechanical ventilation by means of a respirator, especially if an uncuffed endotracheal tube is used.5-7

Nasogastric tubes are frequently used in pediatrics and pediatric surgery. It was found that the incidence of postoperative pneumonia in adults was 10 times higher in patients in whom nasogastric tubes were used.8

Submitted on November 21, 1989
Accepted on April 2, 1990




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[Abstract] [PDF]

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NASOGASTRIC TUBES DO NOT APPEAR TO CAUSE ASPIRATION PNEUMONITIS
Journal Watch (General), January 22, 1991; 1991(122): 4 - 4.
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