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Endotracheal and Enteric Tubes
Cristina Fuss, MD
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KEY FACTS

  • Imaging

    • Clinical Issues

      • Diagnostic Checklist

        TERMINOLOGY

        • Definitions

          • Endotracheal tube (ETT): Airway management/protection (intraoperative/postoperative, shock), risk of airway compromise (stroke, overdose, coma), mechanical ventilation/oxygenation, respiratory failure, upper airway obstruction, resuscitation of critically-ill patients
            • Dual-lumen ETT: Differential lung ventilation
          • Tracheostomy tube (TT): Long-term mechanical ventilation
            • Surgical stoma in anterior trachea
            • Usually placed 1-3 weeks post initial intubation
          • Gastric tube (GT): Gastric aspiration/decompression, nutritional support, drug administration
          • Feeding tube (FT): Enteral nutrition

        IMAGING

        • General Features

          • Radiographic Findings

            • Ultrasonographic Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • Gross Pathologic & Surgical Features

                    • Microscopic Features

                      CLINICAL ISSUES

                      • Complications

                        DIAGNOSTIC CHECKLIST

                        • Consider

                          Selected References

                          1. Ahmed RA et al: Endotracheal Tube 2021
                          2. American College of Radiology: Intensive care unit patients. Revised August 2021. Accessed August 2021. https://acsearch.acr.org/docs/69452/Narrative/
                          3. Sigmon DF et al: Nasogastric Tube 2021
                          4. Sahu AK et al: Endotracheal tube placement confirmation by ultrasonography: a systematic review and meta-analysis of more than 2500 patients. J Emerg Med. 59(2):254-64, 2020
                          5. Walmsley CJ et al: Intra-abdominal nasogastric tube placement following inadvertent nasopharyngeal perforation. Anaesth Rep. 8(1):52-5, 2020
                          6. Metheny NA et al: A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes. Heart Lung. 48(3):226-35, 2019
                          7. Sigakis CJG et al: Radiographic review of current therapeutic and monitoring devices in the chest. Radiographics. 38(4):1027-45, 2018
                          8. Hunter TB et al: Medical devices of the chest. Radiographics. 24(6):1725-46, 2004
                          Related Anatomy
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                          Related Differential Diagnoses
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                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Imaging

                            • Clinical Issues

                              • Diagnostic Checklist

                                TERMINOLOGY

                                • Definitions

                                  • Endotracheal tube (ETT): Airway management/protection (intraoperative/postoperative, shock), risk of airway compromise (stroke, overdose, coma), mechanical ventilation/oxygenation, respiratory failure, upper airway obstruction, resuscitation of critically-ill patients
                                    • Dual-lumen ETT: Differential lung ventilation
                                  • Tracheostomy tube (TT): Long-term mechanical ventilation
                                    • Surgical stoma in anterior trachea
                                    • Usually placed 1-3 weeks post initial intubation
                                  • Gastric tube (GT): Gastric aspiration/decompression, nutritional support, drug administration
                                  • Feeding tube (FT): Enteral nutrition

                                IMAGING

                                • General Features

                                  • Radiographic Findings

                                    • Ultrasonographic Findings

                                      • Imaging Recommendations

                                        DIFFERENTIAL DIAGNOSIS

                                          PATHOLOGY

                                          • Gross Pathologic & Surgical Features

                                            • Microscopic Features

                                              CLINICAL ISSUES

                                              • Complications

                                                DIAGNOSTIC CHECKLIST

                                                • Consider

                                                  Selected References

                                                  1. Ahmed RA et al: Endotracheal Tube 2021
                                                  2. American College of Radiology: Intensive care unit patients. Revised August 2021. Accessed August 2021. https://acsearch.acr.org/docs/69452/Narrative/
                                                  3. Sigmon DF et al: Nasogastric Tube 2021
                                                  4. Sahu AK et al: Endotracheal tube placement confirmation by ultrasonography: a systematic review and meta-analysis of more than 2500 patients. J Emerg Med. 59(2):254-64, 2020
                                                  5. Walmsley CJ et al: Intra-abdominal nasogastric tube placement following inadvertent nasopharyngeal perforation. Anaesth Rep. 8(1):52-5, 2020
                                                  6. Metheny NA et al: A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes. Heart Lung. 48(3):226-35, 2019
                                                  7. Sigakis CJG et al: Radiographic review of current therapeutic and monitoring devices in the chest. Radiographics. 38(4):1027-45, 2018
                                                  8. Hunter TB et al: Medical devices of the chest. Radiographics. 24(6):1725-46, 2004