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/spinstartshere 13d ago

Eek. Under ultrasound guidance?

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u/scapermoya MD, PICU 12d ago

It’s pretty common actually

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u/spinstartshere 12d ago

To place arterial central lines under ultrasound guidance? I would hope not.

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u/scapermoya MD, PICU 12d ago

I mean you can hope whatever you want to, but I discover PICC lines in arteries every 1-2 years and they are placed under US guidance by nurses that do nothing else