Accidental Intrapulmonary Clinifeed

A case is described in which a narrow bone nasogastric tube was passed into the bronchial tree and feeding with half-strength Clinifeed commenced before the malposition was recognised. The management of the resulting acute respiratory failure is discussed, and the successful outcome attributed to the bland nature of the Clinifeed. The need for radiological confirmation of the position of narrow bone nasogastric tubes before feeding is emphasised.