Real-time point-of-care ultrasound-guided correction of PICC line placement by external manipulation of the upper extremity

Abstract

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). Figure 1 Ultrasound and chest …