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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).
Contributors JVS: conceived of study and drafted initial text and placed peripherally inserted central catheter (PICC) line. AG: performed point-of-care ultrasound. MM: service fellow, assisted with manipulation of arm and edited drafts. CJ: neonatal attending who edited final version of text and approved for publication.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Parental/guardian consent obtained.