Fehllage Trachealtubus
Preschooler
in status epilecticus who is difficult to ventilate during transportCXR AP shows an endotracheal tube with its tip projecting over the left side of the spine with its tip beneath the carina. There is complete atelectasis of the left lung with mediastinal shift to the left. The stomach is massively distended with air.The diagnosis was esophageal intubation causing massive gastric distension.
Trachealtubus
mit der Spitze im rechten Hauptbronchus. Mit abgebildete EKG-Elektroden, ZVK und aufgeklebte Defi-Sonde im rechten Unterfeld (2. Elektrode linkslateral nicht im Bild).
Premature
newborn who has had 2 umbilical venous catheters placedCXR AP shows the tip of one umbilical venous catheter to be in the superior vena cava with the tip of the other umbilical venous catheter curled within the right atrium. The tip of the endotracheal tube is in the right mainstem bronchus. The lungs have ground-glass opacity.The diagnosis was high malposition of the umbilical venous catheters and malposition of the endotracheal tube in a patient with respiratory distress syndrome.
Tubusfehllage
mit der Spitze im rechten Hauptbronchus. Daneben ZVK von rechts jugulär und links über V. subclavia, EKG-Kabel.
School ager
with altered mental status requiring intubationCXR AP shows an endotracheal tube with its tip projecting deep within the right mainstem bronchus. There is partial atelectasis of the left upper lobe and left lower lobe and mediastinal shift to the left.The diagnosis was an endotracheal tube positioned too deep in the right mainstem bronchus.
Fehllage Trachealtubus
Intubationskomplikationen 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 Fehllage Trachealtubus: