Premature newborn with respiratory distress

Chest
CXR of high position of neurally adjusted ventilatory assist catheter / NAVA catheter
CXR AP (left) shows the tip of the nasogastric tube to project over the body of the stomach. The tip of the NAVA tube projects over the proximal esophagus. Repeat CXR AP obtained after repositioning of the NAVA tube (right) shows the tip of the NAVA tube to now project in correct position over the body of the stomach alongside the tip of the nasogastric tube.

The diagnosis was neurally adjusted ventilatory assist (NAVA) catheter malfunction with the tip of the NAVA tube initially being too high in position in the esophagus.

Published