I have seen a pt cough a 5FR groshong up into their IJ.
From: "DAVID LONGSETH" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: Malposition after power injection
Date: Wed, 11 Oct 2006 20:05:42 -0500
>Saw a set of CXR's last week that were of interest. Pt had a 5Fr
>Power PICC placed in the AM,then a CT in the afternoon (chest for
>PE,I think). Later in the evening pt. began having discomfort and
>swelling in the neck. CXR after PICC placed showed a good lower SVC
>placement but the evening's film showed the line up the IJ,perhaps
>with the tip in smaller collateral vein. Apparently the CT contrast
>injection was strong enough to flip the PICC up there.
>Was wondering if anyone else has seen this occur,but then also
>wonder if this doesn't happen more frequently and we just never
>know....
>David
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