Lines and tubes in neonates

endotracheal tube
  • tip varies with head and neck motion
  • tip should be above carina
  • consider chin position
nasogastric tube
  • within stomach
nasojejunal tube
  • include weighted tip
  • side hole at duodenojejunal flexure
umbilical arterial line
  • tip between T6 and T9
  • course inferiorly within umbilical artery into internal and common iliac arteries, then into aorta
umbilical venous line
  • tip at junction of IVC and right atrium
  • course superiorly toward liver, enter portal vein, traverse ductus venosus, end in IVC
central venous catheters, peripherally inserted central catheter
  • tip lies in superior vena cava