misplaced endotracheal tube

Misplaced
endotracheal tube • Endotracheal tube in right main bronchus with left lung collapse in evolution - Ganzer Fall bei Radiopaedia
Dixon, A. Endotracheal tube in right main bronchus with left lung collapse in evolution. Case study, Radiopaedia.org. (accessed on 14 Nov 2022) https://doi.org/10.53347/rID-35591 • CC by-nc-sa 3.0 (modified)
Misplaced
endotracheal tube • Left main bronchus intubation with complete right lung collapse - Ganzer Fall bei Radiopaedia
Omar, A. Left main bronchus intubation with complete right lung collapse. Case study, Radiopaedia.org. (accessed on 14 Nov 2022) https://doi.org/10.53347/rID-32672 • CC by-nc-sa 3.0 (modified)
Misplaced
endotracheal tube • Left internal mammary vein cannulation by CVP line - Ganzer Fall bei Radiopaedia
Sharma, M. Left internal mammary vein cannulation by CVP line. Case study, Radiopaedia.org. (accessed on 14 Nov 2022) https://doi.org/10.53347/rID-10328 • CC by-nc-sa 3.0 (modified)
Gastrointestinal
perforation: clinical and MDCT clues for identification of aetiology. 75-year-old patient with pharyngeal perforation following repeated nasogastric tube insertions. Axial contrast-enhanced image of the neck following oral contrast administration demonstrates a contrast leak through the left aspect of the pharyngeal wall (arrowhead)
insightsimaging.springeropen.com • CC-by-4.0
Radiopaedia • CC-by-nc-sa 3.0 • de

A misplaced or malpositioned endotracheal tube is a relatively common complication that is detected on post-intubation radiographs.

Complications

  • if the ETT is too high it can rub against the vocal cords and cause cord trauma
  • if the ETT is too low it can selectively intubate the right or left mainstem bronchus (see: endobronchial intubation)
  • esophageal intubation should be suspected with progressive gaseous distention of the stomach while the lung volumes remain low

Differential diagnosis

Siehe auch:
Assoziationen und Differentialdiagnosen zu Intubationskomplikationen:
Tubus im
rechten Hauptbronchus
Wikipedia • CC BY-SA 4.0
Fehlintubation
in den Ösophagus
pediatricimaging.org • CC-by-nc-sa 4.0
Pharynxperforation
 
insightsimaging.springeropen.com • CC-by-4.0