Chest radiograph: lines and tubes in intensive care
ICU patient with sepsis, fever and renal failure
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Intubated ICU patient, tracheal tube above the tracheal bifurcation, gastric feeding tube in situ, 3 ECG electrodes. There is a central line in the right jugular vessel and two central lines with projection on upper vena cava and right atrium. Bilateral pleural effusions and atelectasis.
After admission to the ICU the central line was placed into the right jugular vein. After 6 days of the intensive care treatment fever and hemodynamic instability occured corresponding to sepsis with renal failure. Intensivist indicated to place the new central line and the new catheter for the continous renal replacement therapy (CRRT), both lines into the left jugular vein.
The radiograph confirms the position of the new lines on the opposite site before the catheter removal on the right site due to the supposed catheter associated blood stream infection.