Premature newborn now 2 months old with respiratory distress just switched to NAVA

Neurally Adjusted Ventilatory Assist (NAVA) catheter malposition in the right mainstem bronchus
CXR AP shows the tip of the NAVA catheter to project over the right mainstem bronchus. The tip of the nasogastric tube projects over the fundus of the stomach. A VP shunt is also present coursing along the left chest.

The diagnosis was Neurally Adjusted Ventilatory Assist (NAVA) catheter malfunction with malposition of the tip of the NAVA catheter in the right mainstem bronchus.