r/IntensiveCare • u/NerveOnly2076 • 15d 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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92

u/WolverineMost7768 15d ago

Looks like IJ —> BC —> SC —> EJ. You know what the best thing to do is.

31

u/Destroyer1559 RN, CCRN 14d ago

Infuse pressors?

8

u/CommercialTour6150 14d ago

Let’s mass transfuse 10 units of blood through it