Down the Wrong Way: An Important Complication of Nasogastric Tube Placement
Bibliographic record
Abstract
Placement of a nasogastric tube is a very common procedure carried out by doctors and nurses on both medical and surgical wards. Indications include for feeding purpose to meet the patient’s nutrition requirement and a therapeutic use to decompress a distended bowl in an acute small/large bowl obstruction. Insertion of a nasogastric tube into the pulmonary tree is a well-recognized complication that can possibly cause a pneumothorax or pulmonary aspiration if feeding was commenced without checking its position before use. This case report describes pneumothorax in a 65-year-old patient following insertion of a nasogastric tube. It also highlights the management of pneumothorax causes by intra-pleural insertion of a nasogastric tube and patients who are susceptible to nasogastric tube complications. J Med Cases. 2014;5(12):618-620 doi: http://dx.doi.org/10.14740/jmc1977w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.006 | 0.006 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".