I accidentally nuked my last post of thisâ€¦ starting over.... thanks for your patience!!
Ok, I'm looking for those of you with pretty good x-ray & anatomy skills.Â
I'm attachingÂ 3 x-rays, 1 is the original for plcmt on 12/23 & the other 2 were taken on Christmas day.Â Â I'd love to hear opinions on these regarding tip placement.
Hx - Placed this line 12/23... it's a 2FR silicone catheter, insert site is Rt Saph. vein.Â I'll leave out the preliminary reading that I put in the "memo" & the Radiogist's initial reading for now.... I did pull the catheter back 1cm.
12/25 - Neonatologist tellsÂ the NI RN to pull this line immediately!!!Â He documented in progress notes, after shooting the 2 films from 12/25, that "the picc tip is in a spinal vein".Â
I'm sure this is going to beÂ a hornetâ€™s nest..... I haven't found one person to agree with his Dx, he's not going to be back here for a few weeks & nursery upper management is off till after the 1st.Â
If he was incorrect, I want this to never happen again.... I had to put this baby thru a re-insertion in the opposite side (and, the films are identical after the iliac)..... if he's correct, please help me understand!!!!Thanks for your time & professional opinions, Jim.