ARRS 2022 Abstracts

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E1617. Malpositioned Lines and Tubes
Authors
  1. Pokhraj Suthar; Rush University Medical Center
  2. Sumeet Virmani; Rush University Medical Center
Background
A variety of devices are used in critically ill patients. The American College of Radiology (ACR) recommended daily chest radiographs for critically ill patients who are in ICU. Knowledge about position of line and tubes is of prime importance. If malposition is encountered and diagnosed on imaging, it will prevent a lethal outcome associated with it. This educational exhibit highlights various lines and tubes used in chest and whole body.

Educational Goals / Teaching Points
The goals are of this exhibit are to learn normal anatomic location of lines and tubes in various modalities in radiology and review various cases of malpositioned lines and tubes and the clinical importance and associated complications.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
A variety of devices are used in critically ill patients. Every device has its own importance, but if wrongly placed, it can be life-threatening. So, it is important to confirm correct placement to prevent complications. X-ray and CT scans are in valuable tools for monitoring various devices in critically ill patients as well as diagnosing and evaluating disease. The ACR recommends a chest x-ray immediately after the placement of indwelling tubes, catheters, and other devices to check the position and to detect procedure-related complications. Many abnormalities may not be life-threatening if diagnosed early. Risk of misplacement, coiling, and fracture are associated with line and tubes (catheters) in critically ill patients.

Conclusion
This educational exhibit provides a case-based pictorial review, highlighting various normal anatomical landmarks for correct placement of line and tubes, how to diagnose malpositioned lines and tubes, and various complications associated with it. Knowledge of the imaging features of the common indwelling lines andtubes is of the utmost importance for radiologist.