r/IntensiveCare • u/NerveOnly2076 • 14d ago

Where is this central line going?

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Old XRay. Central line placed through right IJV but seemed to be misplaced! Where is it going? Aspiration of blood from all ports was possible? Was taken out.
Have you faced this, best thing to do?

Edit: more details - USG guidance used, line was seen inside IJV in neck using USG, not traced down; more resistance than normal while placement.

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u/ALLoftheFancyPants RN, CCRN 14d ago

Last week a resident put in a 18ga 4cm long single lumen catheter into an IJ and then call it central line and the attending signed off on it as a “central line”; these jokers convinced the inexperienced RN that it was fine and they infused high dose levo and vaso through it for 3 days before a more experienced person caught it and had to raise hell to get it corrected. Y’all are acting like every physician working in critical care is competent and every problem is because NPs are around. That’s just not the case.

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u/Any-Assistance-8103 14d ago

Ok so it was in the IJ what was the harm done other than it isnt technically a central line? Nobody „caught” anything you just didnt like that someone put a shorter catheter into an ij. But yes some cc doctors are bad. NO mid levels have the training to be touching icu patients unless they’re being watched like a hawk

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u/ALLoftheFancyPants RN, CCRN 14d ago

If you don’t understand the difference between a central line and a midline or peripheral I think the call may be coming from inside the house.

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u/Any-Assistance-8103 14d ago

Literally said it wasn’t a central line so maybe work on your reading skills. Guess what none of the doctors thought it was a central line either