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Radiology.Academy.Sk

Peds Tubes and Lines

UVC


Course: Umbilicus → Umbilical vein → Left portal vein → crossing into Ductus Venosus → into IVC at confluence of hepatic veins → terminates at cavo-atrial junction (just above or at right hemi-diaphragm)


Displacement: right and left portal vein, SMV, splenic vein, hepatic veins, SVC, IJV, left atrium (by PFO)




UAC


Course: Umbilicus → Umbilical artery → Internal iliac artery → Common iliac a. → Aorta.
2 acceptable tip positions:


to avoid placement near important aortic branches


ETT


The tip of ETT should be placed in mid-thoracic trachea at C7-T2 level above the carina


Right main stem intubation occurs more frequently because of its more direct course from the trachea




Chest Tube


Positon (posteriorly, anteriorly). Position of the side holes




NG Tube


Can go to right lung through main stem bronchus. Can perforate esophagus. Can diagnose esophageal atresia. Serves for decompression, not feeding




Naso-Jejunal Tube


Complications: perforation, kinks and intussusception