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Journal of Parenteral and Enteral Nutrition
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Case Reports

Obligate Nasal Breathing in an Elderly Woman: Increased Risk of Nasogastric Tube Feeding

Oscar G. Hernandez, M.D.

Department of Medicine, Sections of Pulmonary/Critical Care Medicine and Nutrition, Louisiana State University Medical Center, New Orleans, Louisiana

Steve Nelson, M.D.

Department of Medicine, Sections of Pulmonary/Critical Care Medicine and Nutrition, Louisiana State University Medical Center, New Orleans, Louisiana

Edward F. Haponik, M.D.

Department of Medicine, Sections of Pulmonary/Critical Care Medicine and Nutrition, Louisiana State University Medical Center, New Orleans, Louisiana

Alfredo Lopez, M.D., PH.D.

Department of Medicine, Sections of Pulmonary/Critical Care Medicine and Nutrition, Louisiana State University Medical Center, New Orleans, Louisiana

Warren Summer, M.D.

Department of Medicine, Sections of Pulmonary/Critical Care Medicine and Nutrition, Louisiana State University Medical Center, New Orleans, Louisiana

The initiation of oronasal breathing when the nasal pathway becomes obstructed requires a complex interaction of neuromuscular responses which are normally present in all but very young infants. We describe an elderly lady who developed respiratory failure partially due to an inability to initiate oral breathing when her nasopharynx was compromised by a nasogastric tube. (Journal of Parenteral and Enteral Nutrition 12:531-532, 1988)

Journal of Parenteral and Enteral Nutrition, Vol. 12, No. 5, 531-532 (1988)
DOI: 10.1177/0148607188012005531
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