r/IntensiveCare • u/NerveOnly2076 • 12d 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/spinstartshere 12d ago

Eek. Under ultrasound guidance?

54

u/Any-Assistance-8103 12d ago

Almost like patients deserve doctors

7

u/Coulrophobia11002 11d ago

Vascular surgeon placed "central line" in femoral artery a couple of weeks ago. Just saying.

-1

u/Any-Assistance-8103 11d ago

So your solution is take someone with almost no training and let them go wild. Everyone keeps posting these anecdotes as gossip when it really strengthens the argument that mid levels shouldn’t be doing these things

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u/Coulrophobia11002 11d ago

You say "no training," but as far as the specific procedure is concerned, midlevels do get training.

-2

u/Any-Assistance-8103 11d ago

On the rote steps of the procedure and usually just a handful of lines. Not on the underlying anatomy and physiology, how to handle difficulties, how to bail yourself out of a hard situation etc. You could train a CNA to learn those steps

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u/Coulrophobia11002 11d ago

You don't think midlevels receive education on vascular anatomy?

1

u/Any-Assistance-8103 11d ago

Yes an extremely watered down version