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November 1964

Nasogastric Intubation And Otitis Media In Children

Author Affiliations

Assistant Resident in Otolaryngology at the Columbia-Presbyterian Medical Center.

Arch Otolaryngol. 1964;80(5):580-582. doi:10.1001/archotol.1964.00750040594014

A nasogastric tube is very commonly used when performing abdominal surgery in children. It is assumed by some pediatric surgeons that febrile episodes following this surgery is in part due to middle ear infection as a result of nasogastric intubation. A review of the literature failed to disclose any previous information on this subject. Therefore, I was prompted to undertake a study to determine whether nasogastric intubation commonly causes otitis media in children. No attempt has been made to investigate other possible complications following the use of the nasogastric tube.

Method  A review was made of the charts of children admitted for intestinal obstruction to the Babies Hospital at the Columbia-Presbyterian Medical Center from 1945 to 1963. The charts of 137 children treated with nasogastric intubation were examined to determine the number of these patients that exhibited clinical evidence of otitis media, ie, a temperature elevation and tympanic membrane changes

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