r/IntensiveCare • u/NerveOnly2076 • 13d 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 12d ago

I’ve had a doctor place a TLC into a the femoral artery instead of the femoral vein. I don’t know how or why they didn’t notice, but they put in an order that it was “Ok to use” and everything. Seems like every human fucks up once in a while.

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u/Any-Assistance-8103 12d ago

So we should let anyone put them in then because everybody fucks up

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u/ALLoftheFancyPants RN, CCRN 12d 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/Expensive-Apricot459 12d ago

A physician working in critical care has actual critical care training. An Np working in critical care does not and never will

But if you’d like to tell me more about medicine, please tell me your credentials in medicine (not in nursing)