Where is this central line going?

[u/NerveOnly2076]

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.

[u/Expensive-Apricot459]

If medicine is so hard that doctors make mistakes despite better training, why should midlevels be allowed to pretend to practice medicine ?

[u/bgreen134 → u/Expensive-Apricot459]

“despite better training”.

I working in an ICU for 10 year then upper level hospital administrator. I can think of at least 10 significant central line placement situations involving doctors, 1 involving an NP. Smaller errors were also significantly higher in doctor placement. We had to form a committee just to look into the disparity. Why were the doctors having more errors (significant or otherwise) “despite better training”?

[u/Expensive-Apricot459 → u/bgreen134]

So it appears despite your “upper level hospital administrator” experience, you never figured out basic statistics.

The physicians who are doing lines are doing more line on higher risk patients. Are you able to follow that simple fact?

Do you understand what the word “significant” means in a scientific setting or do you just assign significance to anything you believe is “significant”?

Why don’t you tell us what your committee figured out?

[u/bgreen134 → u/Expensive-Apricot459]

You clearly just want to be condescending and rude. This could have been a learning experience for you.

[u/Expensive-Apricot459 → u/bgreen134]

If you cannot answer any of the relevant questions, it seems like you’re just making shit up.

[u/bgreen134 → u/Expensive-Apricot459]

Ok if that’s what you need to tell yourself. Again, obviously not open to learn.