Central line in subclavian vein

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Central line insertion following spinal surgery.

Patient Data

Age: 11 years
Gender: Male
x-ray

Right internal jugular line. The tip is malpositioned and lies projected over the subclavian vessels. Assuming insertion into the internal jugular vein, this lies in the subclavian vein and requires repositioning. Bilateral pleural drains. 

Case Discussion

Malposition of an internal jugular vein central line in the subclavian vein.

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