Respiratory distress syndrome and malpositioned ET tube

Case contributed by Dr Jeremy Jones

Presentation

27-week gestation neonate. Respiratory distress. Intubated.

Patient Data

Age: 1 day
Gender: Male

Bilateral granular appearance to both lungs. Increased opacification on the left secondary to a malpositioned ETT tube in the right main bronchus.

Case Discussion

Always deal with lines and tubes first. Don't miss an ET tube down the right main bronchus. The background lung parenchyma has the characteristic appearance of respiratory distress syndrome (RDS).

Even without the history of the gestation of the patient, lack of humeral head ossification and the size and shape of the thorax should push you towards an early preterm infant.

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Case information

rID: 62755
Published: 29th Aug 2018
Last edited: 26th Jan 2019
System: Paediatrics
Inclusion in quiz mode: Included
Institution: NHS Lothian

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