An 18-year-old man has been in ICU for 7 days after jumping from a building. A tracheostomy was performed yesterday. He has now developed acute respiratory distress and you are unable to pass a suction catheter through the tracheostomy tube. This attached chest X-ray was taken a few hours prior to the onset of his respiratory distress.

What is evident from the X-ray and what intervention is required? *This case is from Docplexus Editorial Team for educative purpose only Source: Life In The Fast Lane The answer is posted in the comment section. click here .