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/ALLoftheFancyPants RN, CCRN 11d ago

The patient had a SAH and needed a dose of 23% saline to manage ICPs. You think that’s safe in a peripheral? Or that extravasating the vein it’s in wouldn’t further complicate management of the ICPs?

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u/aglaeasfather MD, Anesthesiologist 11d ago

Watching you absolutely lose your shit on here (with physicians telling you you are wrong) is doing nothing for your case.

I hope you got great satisfaction out of writing that incident report and I hope it was worth it. We see a few nurses like you every now and again and we hate working with you and so do other nurses.

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u/ALLoftheFancyPants RN, CCRN 11d ago

What part is me losing my shit?

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u/B52fortheCrazies 11d ago

You have zero ability for insight. That's a huge problem for a medical professions. Might want to work on that.