Influence of head and neck position on endotracheal tube tip position on chest x-ray examination: A potential problem in the infant undergoing intubation

Suzan Trout, Jeann Aaron, Ramon L. Zapata-S T, John F. Hansbrough

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Complications related to endotracheal tubes are frequent in small children and infants. We report a case of a burned 12-month-old child in whom frequent manipulation of the endotracheal tube was required because of recurrent atelectasis and changing position of the endotracheal tube on chest x-ray film. It was then determined that because of variations in head and neck position while chest x-ray films were obtained, the endotracheal tip changed position in the trachea greater than 2.7 cm (greater than 1 inch), although endotracheal tube position was maintained at the level of the teeth. Airway care and gas exchange were subsequently improved by ensuring that patient care and chest x-ray films were performed with the head and neck in similar (neck slightly flexed, head neutral) position.

Original languageEnglish (US)
Pages (from-to)405-407
Number of pages3
JournalJournal of Burn Care and Rehabilitation
Volume15
Issue number5
StatePublished - 1994
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Nursing(all)
  • Emergency Medicine
  • Rehabilitation
  • Health Professions(all)

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