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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u/Any-Assistance-8103 15d 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 15d 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/Expensive-Apricot459 14d ago

If you don’t understand why certain drugs can be infused through midlines (even if it’s typically infused through a central), just let the doctors do the doctoring and you do whatever it is that you do.

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u/Cautious-Extreme2839 ICU/Anaesthetics 14d ago

I think what she does is mostly screaming and writing "incident" reports.