What is the most likely diagnosis?
- Four different patients with Dobbhoff Tubes (feeding tubes) in place. Which one is in the correct position?
Four Different Patients
- A
- B
- C
- D
Additional Image - None
Additional Images
No Additional Images
Answer:
- A - In Right Lower Lobe Bronchus
- B - Correct position in duodenum
- C - Too high (in neck)
- D - Coiled in distal esophagus
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Dobbhoff Tubes (Nasoduodenal Feeding Tubes)
Indications for use
- A small-bore, flexible silicone tube usually inserted into the nose with a weighted tip that should preferentially be past the pylorus
- Used for nutrition in patients who
- Require mechanical ventilation
- Have an altered mental status
- Have swallowing disorders
- It is a narrow-bore (3mm-8 French) which can be left in place for 6 weeks or more
- Causes less local irritation than nasogastric tubes
- Unlike a large-bore nasogastric tube, it is not attached to suction