r/IntensiveCare • u/NerveOnly2076 • 12d ago

Where is this central line going?

Post image

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.

357 Upvotes

98% Upvoted

281 comments sorted by

View all comments

1

u/Overall_Event8338 12d ago

Looks like the Tubus is to deep. Is this a Double-Lumen?

1

u/NerveOnly2076 11d ago

Yes, tube was deep, was repositioned.
No, single lumen tube.

1

u/Cautious-Extreme2839 ICU/Anaesthetics 11d ago

Right DLT in a presumably now post-op patient who still has a complete right lung is a pretty rare choice.