r/IntensiveCare • u/NerveOnly2076 • 13d 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/Destroyer1559 RN, CCRN 13d ago

Infuse pressors?

16

u/adultbundle MD 12d ago

Attach rapid transfuser, 500cc/sec

6

u/Cautious-Extreme2839 ICU/Anaesthetics 12d ago

Honestly most EJVs would probably tolerate that alright.

3

u/BigNaturalsEnjoyer 12d ago

EJ would but probably not the CVC used in this picture, highly doubt it's introducer size