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Sep 7 2010, 6:00 PM EDT
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AndyC
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Sep 7 2010, 5:59 PM EDT
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AndyC
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Change: link gc talkIntroduction When you are summoned to the neonatal unit (commonly known as NNU, SBCU or NICU) for a 'check X-ray', it is often to
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Aug 29 2010, 7:58 AM EDT
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M.J.Fuller
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Change: Source: Unreferenced Powerpoint presentation from Deaconess Women’s Hospital, Newburgh, Indiana I found a powerpoint presentation from the Deaconess Women’s Hospital, Newburgh, Indiana that argued the case for checking line in the Neonatal unit with mobile DR.
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Feb 8 2010, 3:08 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 3:08 AM EST
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Dec 27 2009, 8:17 AM EST
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M.J.Fuller
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Change: peripherally inserted venous line (white outline arrow)Nasogastric tube (solid white arrow)Transpyloric tube (solid black wrrow) Peripheral Venous Catheter (Long Lines, PICC, CVC) Peripheral Venous Catheter Insertion Sites "1.Hand Dorsal arch veins Are best seen on the back of the
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Jul 21 2009, 8:39 AM EDT
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M.J.Fuller
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Jul 21 2009, 8:26 AM EDT
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M.J.Fuller
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Change: is directed into the umbilical vein, through the ductus venous, into the inferior vena cava Allows infusion of more hypertonic solutions Allows better nutrition through TPN Provides emergency access for fluids, resuscitation drugs and blood products www.youthclinic.com/Pediatric%20lectures/Line%20Placement.ppt This graphic is based on a
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Jul 21 2009, 7:20 AM EDT
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M.J.Fuller
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Change: to download the Powerpoint presentation).DR. This has intuitive appeal- a malpositioned line can do harm in a variety of different ways. Also, the mobile DR technique is efficient in that a malpositioned line can be quickly assessed, repositioned then reassessed. Neonatal Vascular Anatomy The positioning of
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Jul 19 2009, 5:08 PM EDT
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M.J.Fuller
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Change: pneumathoracespneumothoraces noted NGT folded in oesophagus ?folded www.youthclinic.com/Pediatric%20lectures/Line%20Placement.ppt adpated from Lakshmana Das Narla, MD Mark Horn, MD GaryK Lofland, MD Williarn B. Moskowitz, MD. Evaluation of Umbilical Catheter and Tube Placements in Premature Infants UVC extends across foramen ovale into the left atrium then left venticle UVC
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Mar 26 2009, 1:45 AM EDT
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M.J.Fuller
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Change: By Fred W. Wright Radiology of the Chest and Related Conditions: Together with an Extensive Illustrative Collection of Radiographs CRC Press, 2002I The endotracheal tube (ETT) tip is in the bronchus intermedius.When the tip is in the bronchus intermedius, RUL
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Feb 3 2009, 1:30 AM EST
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M.J.Fuller
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Change: also become atelectatic along with all of left lung This baby has an ET tube malpositioned in the oesophagus. Note the baby's trachea has deviated to the right and is positioned alongside the ET tube...back to the Applied Radiography home page
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Jan 10 2009, 5:23 AM EST
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M.J.Fuller
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Change: Note that the artery tends to keep a more uniform round shape. The vein is more likely to appear flattened and will change shape when compressed with the ultrasound probe. The doppler flow characteristics also clearly distinguished artery from vein Source Ali M. Nadroo, Ronald B.
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Dec 31 2008, 12:36 AM EST
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M.J.Fuller
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Change: in a baby with arm abducted and elbow extended Same baby with same CVC line with arm adducted and elbow flexed. Central Venous Catheter (CVC) Longline- leg The central venous catheter has been inserted in the right leg and
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Dec 29 2008, 1:08 AM EST
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M.J.Fuller
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Change: Injection of contrast into jugular CV line demonstrates filling of the vascular plexus in the right shoulder as well as filling of the subclavian vein and the axillary vein Transient Portalvenous air The UVC tip has tracked into the liver and there appears to be portal venous gas.Air
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Dec 18 2008, 3:05 AM EST
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M.J.Fuller
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Change: This abdominal X-ray examination was requested after a difficult long line insertion into the left saphenous vein. Further clarification of the tip position was undertaken using ultrasound imaging. The longline tip position was established to be in the arterial circulation.Central Venous Catheter (PICC) - arm The tip
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Dec 18 2008, 2:18 AM EST
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M.J.Fuller
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Change: The double catheter technique is based on the premise that once the first attempt catheter has occupied the wrong vessel, the second atttempt catheter will be more likely to enter the correct vessel (the incorrect vessel is blocked by the catheter from the first attempt.Mandel, Dror MD;
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Dec 18 2008, 12:26 AM EST
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M.J.Fuller
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Dec 18 2008, 12:25 AM EST
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M.J.Fuller
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Change: Ali M. Nadroo, Ronald B. Glass, Jing Lin, Robert S. Green and Ian R. Holzman Central Catheters in Neonates, Pediatrics 2002;110;131-136 Source Ali M. Nadroo, Ronald B. Glass, Jing Lin, Robert S. Green and Ian R. Holzman Central Catheters in Neonates, Pediatrics 2002;110;131-136Note the position of
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Dec 17 2008, 11:57 PM EST
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M.J.Fuller
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Dec 17 2008, 11:55 PM EST
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M.J.Fuller
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Change: It is important to note that the catheter tip position will change with the baby's arm movements. The following research finding are notweorthy"Arm movements were associated with significantdisplacement of catheters. Catheters that wereplaced via the basilic or axillary vein migrated toward theheart with adduction
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