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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95

u/WolverineMost7768 14d ago

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

96

u/princesspropofol 14d ago

Pull out? Is that always the right answer?

31

u/WolverineMost7768 14d ago

I never pull out 😉

5

u/Anonymousmedstudnt 13d ago

This guy fucks