ETT down right main bronchus

Case contributed by Dr Jeremy Jones

Presentation

ETT, UVC and NG tube inserted. Check positions.

Patient Data

Age: 2 days
Gender: Male
X-ray

There is differential transradiance of the hemithoraces because of collapse on the left. The cause is the tip of the ETT in the ostium of the right main bronchus.

Annotated image

Annotations of the lines and tubes including the position of the ETT in relation to the carina and the right main bronchus.

Case Discussion

There has been partial left lung collapse secondary to intubation of the right main bronchus. This is usually accidental and a prompt telephone call to ITU/NNU will ensure that the clinical staff are aware in a timely manner and able to rectify tube position. In most cases, they will have already noticed that the tube position is not correct, but you shouldn't assume that's the case.

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Case information

rID: 23852
Case created: 13th Jul 2013
Last edited: 15th Oct 2015
Systems: Chest, Paediatrics
Tag: devices
Inclusion in quiz mode: Included

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