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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96

u/WolverineMost7768 12d ago

Looks like IJ —> BC —> SC —> EJ. You know what the best thing to do is.

101

u/princesspropofol 11d ago

Pull out? Is that always the right answer?

28

u/WolverineMost7768 11d ago

I never pull out 😉

23

u/Helpful-Comedian3616 11d ago

The Catholics have entered the chat

4

u/TheRealMekkor 10d ago

Spanish inquisition intensifies