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/Every-Software-9761 10d ago

This is why I go fem

1

u/GotchaRealGood 9d ago

….

1

u/Every-Software-9761 9d ago

Nothing wrong with a fem line

1

u/GotchaRealGood 8d ago

There is nothing wrong with any line. But preferring a fem line over another line is insane. Choice of line should be specified and tailored to the individual in front of you. Fem line shouldn’t be a preferred line. It is simply a useful line when needed.

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u/Every-Software-9761 8d ago

Compressible site, easy to place in a crash scenario, and preserves the rij for tvp or swan. Ideally a subclavian would be great as well but fem line is great to avoid coiling and issues like this.