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After insertion of an innovative new central venous catheter, extravascular lung liquid was quantified at 10 ml/kg again. After 10 days of technical air flow the in-patient ended up being successfully extubated. As mechanism with this catheter dislocation, we suggest a Valsalva maneuver or natural moves associated with upper body for the client. Abrupt increase in extravascular lung liquid may reflect central venous catheter tip dislocation and upper body x-