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Reminder of important clinical lesson
Aspiration pneumonia caused by inadvertent insertion of gastric tube in an obtunded patient postoperatively
  1. Zhang Xu,
  2. Wenxian Li
  1. Anaesthesiology Department, EENT Hospital, Shanghai, China
  1. Correspondence to Dr Wenxian Li, wenxianli66{at}


A nasogastric feeding tube is commonly inserted to facilitate patient meeting nutritional needs after oral surgery. But sometimes incorrect position may cause a severe iatrogenic damage. The authors present a case of an aspiration pneumonia complication with the result of malposition of nasogastric tube while the patient was intubated postoperatively. He recovered 3 weeks later with antibody therapy.

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  • Competing interests None.

  • Patient consent Obtained.