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Case of the Week 462



What is the most likely diagnosis?

  • 47 year-old with respiratory distress



Frontal Chest Radiograph

  1. Swyer-James Syndrome
  2. Malposition of the Nasogastric Tube
  3. Pneumonia
  4. Endotracheal Tube Too Low
  5. Large Pleural Effusion

Additional Image - None

 

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Answer:

 

4. Endotracheal Tube Too Low

 

More (Click Discussion Tab)

 

 

Endotracheal Tube Malposition

Indications for use

  • A small-bore, flexible silicone tube usually inserted into the nose with a weighted tip that should preferentially be past the pylorus
  • Used for nutrition in patients who
    • Require mechanical ventilation
    • Have an altered mental status
    • Have swallowing disorders
  • It is a narrow-bore (3mm-8 French) which can be left in place for 6 weeks or more
    • Causes less local irritation than nasogastric tubes
    • Unlike a large-bore nasogastric tube, it is not attached to suction 

 

MORE . . .

 


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