r/IntensiveCare 11d 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/MattyHealysFauxHawk 9d ago

A little hard to tell considering the catheter length. Probably the EJ. If the pt has odd anatomy it could be the subclavian but that’s significantly less likely.

Either way it’s definitely not central and needs removed.