Question 2368
{"accessible":true,"alternatives":[{"id":11678,"text":"electrocardiograph (ECG) leads, central venous catheter (CVC), nasogastric tube (NGT)"},{"id":11681,"text":"electrocardiograph (ECG) leads, endotracheal tube (ETT), nasogastric tube (NGT)"},{"id":11679,"text":"electrocardiograph (ECG) leads, nasogastric tube (NGT), peripherally-inserted central catheter (PICC)"},{"id":11680,"text":"electrocardiograph (ECG) leads, nasogastric tube (NGT), Port-a-cath"}],"archived":false,"correctAlternativeId":11679,"explanation":"\u003cp\u003eECG\u0026nbsp;leads, NGT and PICC are seen in the image and in the correct position.\u003c/p\u003e\u003cp\u003eThe visible \u003ca href=\"/articles/electrocardiogram-ecg\"\u003eelectrocardiograph (ECG)\u003c/a\u003e\u0026nbsp;leads are for the right arm, left arm and left leg.\u003c/p\u003e\u003cp\u003eThe optimal position for a \u003ca href=\"/articles/nasogastric-tube-positioning\"\u003enasogastric tube (NGT)\u003c/a\u003e is with the tip (and side hole) in the stomach well below the diaphragm, at least 10 cm beyond the gastro-esophageal junction.\u003c/p\u003e\u003cp\u003eThe optimal position for a \u003ca href=\"/articles/peripherally-inserted-central-catheter-1\"\u003eperipherally-inserted central catheter (PICC)\u003c/a\u003e\u0026nbsp;is with the tip at the\u0026nbsp;\u003ca href=\"/articles/superior-cavoatrial-junction-1\"\u003ecavoatrial junction\u003c/a\u003e\u0026nbsp;(i.e. between the superior vena cava and right atrium).\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":2368,"imageUrl":"https://prod-images-static.radiopaedia.org/images/52759356/50c9dcb7af478ca4e96498024f5d9a_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":78268},"imageAttributionCaseInfo":{"title":"Flipping nasogastric tube","contributor_name":"Craig Hacking","contributor_param":"hackingc","case_rid":78268,"case_param":"flipping-nasogastric-tube"},"firstQuestionPath":"/questions/2368","nextQuestionPath":"/articles/peripherally-inserted-central-catheter-1/questions/2366","relatedArticles":[{"id":16432,"title":"Medical devices in the thorax","link":"/articles/medical-devices-in-the-thorax?lang=us"},{"id":30966,"title":"Nasogastric tube positioning","link":"/articles/nasogastric-tube-positioning?lang=us"},{"id":86049,"title":"Electrocardiogram (ECG)","link":"/articles/electrocardiogram-ecg?lang=us"}],"alsoUsedIn":[{"id":1346,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1346","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1346"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":158,"kind":"LiveSchedule","title":"158","link":"https://radiopaedia.org/admin/live_schedules/158"},{"id":1723,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1723","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1723"},{"id":365,"kind":"LiveSchedule","title":"365","link":"https://radiopaedia.org/admin/live_schedules/365"},{"id":277,"kind":"LiveSchedule","title":"277","link":"https://radiopaedia.org/admin/live_schedules/277"},{"id":1286,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1286","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1286"},{"id":1286,"kind":"Course","title":"X-ray \u0026 Ultrasound Lectures - page 1286","link":"https://radiopaedia.org/courses/xray-lectures/pages/1286"},{"id":1451,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1451","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1451"}],"stem":"\u003cp\u003eA 70-year old female presents for a CXR following treatment for an aneurysm. The three lines in this image are...\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2368"}],"attemptsPercentages":[{"alternativeId":"11679","percentage":73},{"alternativeId":"11678","percentage":17},{"alternativeId":"11681","percentage":4},{"alternativeId":"11680","percentage":7}],"promptToLogin":false,"questionManager":false,"articleId":"peripherally-inserted-central-catheter"}