Double-Lumen Endotracheal Tube Positioning
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Imaging findings
Chest radiograph demonstrates a double-lumen endotracheal tube in place. A radiopaque ring or band is visible, corresponding to the proximal margin of the bronchial balloon positioned in the left main bronchus, and a distinct line is seen marking the tracheal lumen.
Key takeaways
Double-lumen tubes (often used for one-lung ventilation) require precise positioning, typically in the left main bronchus. Radiologists can assess proper placement on radiographs by identifying the radiopaque marker band, which should lie just distal to the carina, ensuring the bronchial balloon is properly seated within the bronchus without herniating proximally or advancing too far distally.
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