Presentation
Diabetic ketoacidosis. Post-intubation check at ICU - CVC, NGT, ETT.
Patient Data
The right central venous catheter, endotracheal tube and nasogastric tube are appropriately positioned.
Patchy areas of consolidation seen in both lung fields with central perihilar predominance likely due to fluid overload, however, the possibility of a superadded infection cannot be ruled out.
No sizable pleural effusion, pneumothorax or free air under the diaphragm is observed.
Annotated images outlining the right-sided central venous catheter (blue), endotracheal tube (pink) and nasogastric tube (green) from the original frontal chest radiograph.
Case Discussion
This portable radiography case features a chest radiograph and corresponding annotated diagrams that depict appropriate positioning of a few chest tubes and lines often used in ICU patients.
It is important for members of the healthcare team to recognize the correct positioning for these three crucial tubes as malpositioning may mean difficulty in accessing vital organs in the event of a medical emergency.
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