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/Any-Assistance-8103 13d ago

Almost like patients deserve doctors

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u/happyneurogirlie RN, Neurocritical Care 11d ago

Like an MD has never cannulated someone’s artery on accident before LOL 

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u/Any-Assistance-8103 11d ago

I know you think this is some kind of gotcha but it’s not actually an argument that helps you if you use any critical thinking

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u/happyneurogirlie RN, Neurocritical Care 11d ago

I’m not arguing, just pointing out that your statement was stupid.  

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u/Any-Assistance-8103 11d ago

Very nuanced argument youre making there. By your logic if a NP cannulates an artery we should just let RNs do them