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X-Rays and Babies: Radiology Guide for the ICN

This helpful guide provides essential radiology information for healthcare professionals working in the Intensive Care Nursery (ICN). Learn about endotracheal tube positioning, umbilical catheter visualization, and common conditions seen in newborns.

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X-Rays and Babies: Radiology Guide for the ICN

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  1. X-Rays and Babies(Or all the radiology you need to get you through the night in the ICN) Nick Mickas, MD Childrens Hospital & Research Center, Oakland January 12, 2009

  2. Things you’re not born with… • Endotracheal tube • Radiographic landmarks are the thoracic inlet and the carina • Optimal tube position is midway between the two • Tube position varies with head position • Chin down-tube moves in • Chin up-tube moves out

  3. Things you’re not born with… • Umbilical catheters • Important to visualize entire catheter to assure position • Natural course of umbilical vein is straight from umbilicus through ductus venosus to IVC • Umbilical artery dives into the iliac artery before ascending to the aorta • Most of the time arch is to the patient’s left

  4. Umbilical catheters… • UVC tip should be above the liver to ensure not in the portal circulation • UAC if low lying should be between the top of L3 (below renals) and below bottom of L4 • UAC tip if high lying should be between T6 and T10 (out of the arch, above the mesenterics)

  5. L3 L4

  6. RDS

  7. Pneumonia

  8. (Meconium) Aspiration Syndrome

  9. TTN

  10. PIE

  11. Pneumothorax

  12. Pneumothorax and PIE

  13. Pneumomediastinum

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