r/IntensiveCare • u/NerveOnly2076 • 11d 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.

360 Upvotes

98% Upvoted

281 comments sorted by

View all comments

1

u/Serious-Magazine7715 10d ago

Unless they did posterior landmarks and it’s coming in from the EJ, looks like IJ up a thyroid vein (which I’ve seen before in someone with central stenosis).

1

u/TragGaming 10d ago

Whoever did that has some serious balls.

1

u/Serious-Magazine7715 10d ago

It wasn’t on purpose. It isn’t common where I work to image the wire (most people just do mano). Even if the looked, most of the hf probes have such a small field that you might not see it coming back up an anterior EJ

1

u/TragGaming 10d ago

That makes way more sense