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

7. 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

8. 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)

9. L3 L4

21. RDS

25. Pneumonia

29. (Meconium) Aspiration Syndrome

31. TTN

35. PIE

45. Pneumothorax

47. Pneumothorax and PIE

50. Pneumomediastinum

53. Pneumopericardium

57. Congenital Heart Disease

62. Congenital Diaphragmatic Hernia

65. Congenital Cystic Adenomatoid Malformation (CCAM)

68. Esophageal Atresia/TEF

72. Duodenal Atresia

76. Hirschsprung’s Disease

86. NEC/Pneumatosis Intestinalis

94. Pneumoperitoneum