{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:56:39Z","timestamp":1767833799370,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,9,26]],"date-time":"2014-09-26T00:00:00Z","timestamp":1411689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust Veterinary J"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec><jats:title>Case report<\/jats:title><jats:p>An 11\u2010year\u2010old female terrier\u2010cross underwent general anaesthesia and mechanical ventilation for insulinoma resection. Following tumour removal, three consecutive but unsuccessful attempts were made to place a wire\u2010guided nasojejunal feeding tube (<jats:styled-content style=\"fixed-case\">NJFT<\/jats:styled-content>), using both nostrils, with one tube eventually left in situ in the right nostril. A final successful attempt using a smaller <jats:styled-content style=\"fixed-case\">NJFT<\/jats:styled-content> was made via the left nostril.<\/jats:p><jats:p>On withdrawal of the previously, unsuccessfully placed <jats:styled-content style=\"fixed-case\">NJFT<\/jats:styled-content>, the dog developed an acute tension pneumothorax. Severe cardiorespiratory dysfunction ensued, including decreasing arterial haemoglobin <jats:roman>O<jats:sub>2<\/jats:sub><\/jats:roman> saturation, increasing end\u2010tidal <jats:roman>CO<jats:sub>2<\/jats:sub><\/jats:roman>, hypotension and tachycardia.<\/jats:p><jats:p>Immediate thoracocentesis with air evacuation from the pleural cavity followed by continuous air drainage through bilateral thoracostomy tubes produced marked improvement of cardiorespiratory function. During exploratory thoracotomy performed 1 day later, two lung lesions were identified and over sewn, one in the right middle lobe and the other in the accessory lobe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first case report to describe in an anaesthetised and mechanically ventilated dog the occurrence and management of a tension pneumothorax as a life\u2010threatening complication secondary to parenchymal injury after <jats:styled-content style=\"fixed-case\">NJFT<\/jats:styled-content> misplacement into the tracheobronchial tree. It illustrates that presence of a cuffed endotracheal tube does not protect against passing a <jats:styled-content style=\"fixed-case\">NJFT<\/jats:styled-content> into the bronchial system.<\/jats:p><\/jats:sec>","DOI":"10.1111\/avj.12236","type":"journal-article","created":{"date-parts":[[2014,9,26]],"date-time":"2014-09-26T06:43:24Z","timestamp":1411713804000},"page":"400-404","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Tension pneumothorax secondary to nasojejunal feeding tube misplacement in a mechanically ventilated dog"],"prefix":"10.1111","volume":"92","author":[{"given":"P","family":"Giordano","sequence":"first","affiliation":[{"name":"UCD Veterinary Hospital, School of Veterinary Medicine University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BM","family":"Kirby","sequence":"additional","affiliation":[{"name":"UCD Veterinary Hospital, School of Veterinary Medicine University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RC","family":"Bennett","sequence":"additional","affiliation":[{"name":"UCD Veterinary Hospital, School of Veterinary Medicine University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Bernard","sequence":"additional","affiliation":[{"name":"UCD Veterinary Hospital, School of Veterinary Medicine University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,9,26]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"333","volume-title":"Textbook of veterinary internal medicine","author":"Marks SL","year":"2010"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2011.00625.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2009.00477.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.5326\/JAAHA-MS-5514"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.87.1.131"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066610371185"},{"key":"e_1_2_5_8_1","first-page":"275","article-title":"Tracheopleuropulmonary injuries following enteral tube insertion","volume":"81","author":"Odocha O","year":"1989","journal-title":"J Natl Med Assoc"},{"key":"e_1_2_5_9_1","unstructured":"WalesH.Reducing the harm caused by misplaced naso and orogastric feeding tubes in babies under the care of neonatal units. 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