Case report: "Emergency Physician intubated the patient and inserted a central line in the right subclavian vein....Pulmonologist ordered to continue IV fluids and maintain the patient’s central venous pressure (CVP) at 6 to 8 cm of water. At 10 a.m., a nurse contacted Pulmonologist and told him the patient’s CVP was in the 70s.....The radiologist read the chest films from July 24-28. On each of her reports, she recommended the subclavian line be repositioned as the tip of the catheter crossed the midline....When the patient’s sedation was lightened in anticipation of possible extubation, she was found to have weakness and decreased mobility on her left side.".
Read full case at https://hub.tmlt.org/case-studies/failure-to-report-misplaced-central-line
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