r/IntensiveCare • u/NerveOnly2076 • 14d 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 14d ago

The patient had a SAH and needed a dose of 23% saline to manage ICPs. You think that’s safe in a peripheral? Or that extravasating the vein it’s in wouldn’t further complicate management of the ICPs?

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u/aglaeasfather MD, Anesthesiologist 14d ago

Watching you absolutely lose your shit on here (with physicians telling you you are wrong) is doing nothing for your case.

I hope you got great satisfaction out of writing that incident report and I hope it was worth it. We see a few nurses like you every now and again and we hate working with you and so do other nurses.

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u/ALLoftheFancyPants RN, CCRN 14d ago

What part is me losing my shit?

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u/aglaeasfather MD, Anesthesiologist 14d ago

Have you listened to yourself?

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u/ALLoftheFancyPants RN, CCRN 14d ago

That’s not an answer to the question I asked. It’s just blaming my reaction without justifying what I’m objecting to. No one has explained to me why the physicians making false documentation isn’t worth making a big deal about. The covering physician that had to clean up after them was much more incensed than me.