Abnormal Endotracheal Tube and Venous Line Position
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0165-Abnormal Endotracheal Tube and Venous Line Position
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CA0165-Abnormal Endotracheal Tube and Venous Line Position
Case ReportHistory
Exam
Findings
Technique
The AP portable exam is slightly rotated to the left.
Support Devices
The ETT is in an abnormal position in the right main bronchus.
The right subclavian venous line is in an abnormal location entering the lower neck, likely in the right IJ vein.
Cardiomediastinum
There is mild enlargement of the cardiac silhouette.
Vasculature
The aorta and right hilum are normal. The left hilum is obscured by the left lower lobe opacity.
Lungs
The left lower lobe opacity is likely atelectasis from right main bronchus intubation rather than airspace disease.
The left hemidiaphragm is diffusely obscured by the left lower lobe opacity.
Pleura
There is no pneumothorax or pleural effusion, though the left costophrenic angle is obscured.
Bones, Soft Tissues, Upper Abdomen
The bones, soft tissues, and upper abdomen are normal.
Impression
The ETT needs to be retracted about 5 cm.
The right subclavian line enters the right internal jugular vein and needs to be repositioned.
