TY - JOUR
T1 - Nasogastric tube displacement to the right as a sign of acute traumatic rupture of the thoracic aorta
AU - Clarke Cole, D.
AU - Knopp, Robert
AU - Wales, Lee R.
AU - Morishima, Michael S.
PY - 1981/12
Y1 - 1981/12
N2 - A study was undertaken to determine the accuracy of nasogastric tube (NGT) displacement to the right as a sign of acute traumatic rupture of the thoracic aorta (ATRTA). In 14 patients with confirmed ATRTA, the sensitivity of NGT displacement to the right was 70% using measurement of displacement from the midline on chest radiography. Two control groups, comprising victims of vehicular trauma and patients with no recent history of trauma, showed significant percentages of false positive findings for ATRTA based on NGT displacement. The presence of this radiographic sign is highly suspicious for this lethal injury; however, the absence of displacement cannot be used to exclude the diagnosis of ATRTA.
AB - A study was undertaken to determine the accuracy of nasogastric tube (NGT) displacement to the right as a sign of acute traumatic rupture of the thoracic aorta (ATRTA). In 14 patients with confirmed ATRTA, the sensitivity of NGT displacement to the right was 70% using measurement of displacement from the midline on chest radiography. Two control groups, comprising victims of vehicular trauma and patients with no recent history of trauma, showed significant percentages of false positive findings for ATRTA based on NGT displacement. The presence of this radiographic sign is highly suspicious for this lethal injury; however, the absence of displacement cannot be used to exclude the diagnosis of ATRTA.
KW - nasogastric tube, complications
KW - nasogastric tube, displacement
KW - thoracic aorta, rupture, nasogastric tube
UR - http://www.scopus.com/inward/record.url?scp=0019782626&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0019782626&partnerID=8YFLogxK
U2 - 10.1016/S0196-0644(81)80084-4
DO - 10.1016/S0196-0644(81)80084-4
M3 - Article
C2 - 7305092
AN - SCOPUS:0019782626
SN - 0196-0644
VL - 10
SP - 623
EP - 626
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
IS - 12
ER -