What is your overall interpretation Scroll or use arrows to advance and reverse slide animations Images courtesy of Samantha King MD Diffuse bilateral alveolar infiltrates with air bronchograms right mainstem intubation ID: 1047105
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1. 45-year-old man with ESRD develops acute hypoxemic respiratory failure.What is your overall interpretation?Scroll or use arrows to advance and reverse slide animationsImages courtesy of Samantha King, MDDiffuse bilateral alveolar infiltrates with air bronchograms, right mainstem intubation.Diffuse bilateral alveolar infiltratesDiffuse bilateral alveolar infiltratesAir bronchogramsSmall right pleural effusionEndotracheal tube in right mainstem bronchus
2. 46 yo M with ESRD and cirrhosis, sepsis from SBP develops acute hypoxemic respiratory failure.What is your overall interpretation?Images courtesy of Samantha King, MDDiffuse bilateral alveolar infiltrates with air bronchograms, right mainstem intubation.The endotracheal tube should terminate 2-4 cm above the carina.Endotracheal tube in right mainstem bronchusCarinaRight main bronchusLeft main bronchusWhat is the correct positioning for an endotracheal tube?What would be your next step in management?
3. What is the correct positioning for an endotracheal tube?46 yo M with ESRD and cirrhosis, sepsis from SBP develops acute hypoxemic respiratory failure.What is your overall interpretation?Images courtesy of Samantha King, MDDiffuse bilateral alveolar infiltrates with air bronchograms, right mainstem intubation.What is the correct positioning for an endotracheal tube?What would be your next step in management?Endotracheal tube in appropriate position about 2.4 cm above the carinaRepeat CXR after ET tube retracted 4 cmRetract the endotracheal tube.
4. 46 yo M with ESRD and cirrhosis, sepsis from SBP develops acute hypoxemic respiratory failure.What is your overall interpretation?Scroll or use arrows to advance and reverse slide animationsBonus: what other invasive tubes and lines are present?Images courtesy of Samantha King, MDRight IJ dialysis catheter terminating in the SVCOG tube terminating in the proximal stomachDiffuse bilateral alveolar infiltrates with air bronchograms, right mainstem intubation.