Central Line Errors

Question 1

IJ adjacent structures

Answer 1

carotid
phrenic
brachial plexus

Question 2

carotid location

Answer 2

medial/deep to IJ

Question 3

carotid needle error

Answer 3

inserted too medial
not directed ipsilateral nipple

Question 4

carotid injury

Answer 4

hematoma
cerbral thromboembolism
airway obstruction

Question 5

phrenic location (IJ)

Answer 5

behind IJ
on anterior scalenus anterior

Question 6

phrenic error (IJ)

Answer 6

inserted too deep

Question 7

phrenic injury (IJ)

Answer 7

hemidiaphragm paralysis

Question 8

brachial plexus (IJ) location

Answer 8

the scalenus anterior is between IJ and plexus

Question 9

brachial plexus erro (IJ)

Answer 9

too deep
too lateral
too inferior

Question 10

brachial plexus injury (IJ)

Answer 10

motor sensory deficits in hand/arm

Question 11

IJ placement table positionn

Answer 11

trendelenburg

Question 12

IJ needle angle

Answer 12

30 degrees towards ipsilateral nipple

Question 13

SCV adjacent structures

Answer 13

SCA
brachial plexus
parietal pleura
phrenic
thoracic duct

Question 14

SCA location

Answer 14

posterior and anterior to SCV
(10-15mm)

Question 15

SCA error

Answer 15

too deep
too lateral

Question 16

SCA injury

Answer 16

hemorrhage
hematoma
hemothorax

Question 17

brachial plexus location (SCV)

Answer 17

posterior to vein
(20 mm)

Question 18

brachial plexus error (SCV)

Answer 18

too deep
too lateral

Question 19

brachial plexus injury

Answer 19

motor sensory deficits

Question 20

parietal pleura location

Answer 20

contacts posteoinferior side of SCV

Question 21

parietal pleura error

Answer 21

above/below vein

Question 22

parietal pleura injury

Answer 22

pneumothorax

Question 23

phrenic locaiton (SCV)

Answer 23

contacts posteroinferior side of SCV

Question 24

phrenic error (SCV)

Answer 24

above/below SCV

Question 25

phrenic injury

Answer 25

paralysis of hemidiaphragm

Question 26

thoracic duct location

Answer 26

enters the superior margin of SCV

Question 27

thoracic duct error

Answer 27

above/below vein

Question 28

thoracic duct injury

Answer 28

lymphedema chylothorax (left)

Question 29

SCV insertion positioning

Answer 29

trendelenburg

Question 30

SCV insertion needle locations

Answer 30

1cm lateral to clavicular head of sternocleomastoid muscle

Question 31

SCV needle angle

Answer 31

10 degree towards sternal notch

Question 32

femoral vein adjacent structures

Answer 32

femoral artery psoas bowerl sinovial capsule

Question 33

femoral artery location

Answer 33

lateral to femoral vein

Question 34

femoral artery error

Answer 34

too lateral

Question 35

femoral artery injury

Answer 35

hematoma

Question 36

psoas location

Answer 36

posterior to femoral vein

Question 37

psoas error

Answer 37

too deep

Question 38

psoas injury

Answer 38

hematoma psoas abscess

Question 39

bowel location

Answer 39

proximal /deep to femoral vein

Question 40

bowel error

Answer 40

inserted too deep above inguinal ligament

Question 41

bowel injury

Answer 41

enterotomy peritonitis

Question 42

sinovial capsule location

Answer 42

deep to psoas posterior to femoral vein

Question 43

sinovial error

Answer 43

too deep

Question 44

sinovial injury

Answer 44

arthritis septic joint

Question 45

sinovial injury more common in what pts

Answer 45

peds

Question 46

femoral triangle

Answer 46

sartorius (lateral) adductor longus (medial) inguinal ligament (superior)

Question 47

femoral needle insetion

Answer 47

1 cm medial to artery 2 cm inferior to iinguinal ligament

Question 48

femoral needle angle

Answer 48

45 degrees cephalic

Question 49

right SCV depth formula

Answer 49

Ht/10 -2 cm

Question 50

left SCV depth

Answer 50

Ht/10 + 2 cm

Question 51

right IJ depth

Answer 51

Ht/10

Question 52

left IJ depth

Answer 52

Ht/10 +4 cm

Question 53

R SCV in SVC

Answer 53

96%

Question 54

R SCV in RA

Answer 54

4

Question 55

L SCV in SVC

Answer 55

97%

Question 56

L SCV in RA

Answer 56

2%

Question 57

R IJ in SVC

Answer 57

90%

Question 58

R IJ in RA

Answer 58

10%

Question 59

L IJ in SVC

Answer 59

94%

Question 60

L IJ in RA

Answer 60

5%