Endotracheal Tubes (ET Tubes) - Pediatric Radiology and NICU

Audience: Medical students, interns, pediatricians, and radiology residents
Learning Objectives:
Recognize the ideal location and suboptimal locations for the tip of an endotracheal tube in pediatric patients
Describe the common complications that can arise from an endotracheal tube
Where should the ET tube tip terminate?
Between the thoracic inlet and the carina, or
1 cm above the carina
Appears lower when neck flexed
Appears higher when neck extended
Where is the carina?
T3-T5
Typically T4
Summary:
Tip 1 cm above the carina
T2 or T3 level is generally acceptable
Right mainstem is the most common malposition
-Left lung atelectasis or collapse
-Right upper lobe atelectasis or collapse
Esophageal Intubation
-Poor ventilation
-Gastric distention and aspiration

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