Extract:
A 2.0 kg early-term infant with congenital heart disease required central venous catheter placement for persistent hypoglycaemia. A 1-French peripherally inserted central catheter (PICC) was placed in the basilic vein of the left forearm and advanced to 13 cm, commensurate with expected appropriate depth given preprocedural measurements. Point-of-care ultrasound (POCUS) was used to confirm catheter location,1 with X-ray for verification. Initial POCUS and X-ray revealed that the catheter was directed superiorly into the left internal jugular vein (figure 1A,B).
Reference:
Suell, J.V., Meshkati, M., Juliano, C. and Groves, A. (2019) Real-time point-of-care ultrasound-guided correction of PICC line placement by external manipulation of the upper extremity. Archives of Disease in Childhood. Fetal and Neonatal Edition. August 9th. doi: 10.1136/archdischild-2019-317610. (Epub ahead of print).