Learning objectives
Learning Objectives
This poster aims at the following main learning objectives.
Chest X-rays contain many extraneous tubes and lines in the setting of clinical care and intensive care,
and radiologists need to understand the normal position of many lines
Radiologists will be made aware of misplacement positions of common lines and tubes
Radiologists will be made aware of complications that should be recognised in the context of lines and tubes
Background
Background
Chest X-rays are the most commonly employed diagnostic tool in the setting of intensive care,
cardiac care and trauma assessment
There has been an increase in the use of support systems,
and many of these are visualised using chest radiographs
Invasive methods,
including line placements,
are liable to misplacement and other complications.
It is important for radiologists to remain up to date on new devices,
and incorporate lines and tubes in routine chest radiograph evaluation
Imaging findings OR Procedure details
Tubes,
Line,
Devices and Imaging Findings
Endotracheal Tubes
Commonly used in early resuscitation
Usually changed over to tracheostomy if prolonged ventilation support is required.
ET tube should be between 2 and 4 centimeters above the carina
Figures 1-3
This patient,
who required reintubation after valve replacement and sternotomy (1) initially had the ET tube placed to deep,
leading to collapse of the left lung (2).
Following retraction of the ET tube to correct position,
the left lung re-expanded (3).
Figure 4
This patient had an...
Conclusion
Conclusion
This review demonstrates the most commonly used tubes,
lines and devices in current clinical practice.
Recognition of normal placement and misplacement are important for safe patient care.
Radiologists should regularly update themselves of new developments and also routinely report on the presence and location of tubes,
lines and devices.