06-20-2007, 05:19 PM
A 34-year-old man is admitted to the intensive care unit after an exploratory laparotomy. The patient
was in a high-speed motor vehicle accident a few hours prior and on arrival to the emergency
department there was evidence of a severe liver laceration. The patient was brought emergently to the
operating room. While under anesthesia, the patient had a left subclavian central line placed. The line
was used for drug and blood product delivery during the surgical procedure with no apparent
complications. The most important management when he arrives in the intensive care unit is to
 A. aspirate of the central line injection port
 B. do nothing since the line was used without issue
 C. obtain a chest radiograph
 D. order an echocardiogram
 E. order an intravenous contrast study under fluoroscopy
was in a high-speed motor vehicle accident a few hours prior and on arrival to the emergency
department there was evidence of a severe liver laceration. The patient was brought emergently to the
operating room. While under anesthesia, the patient had a left subclavian central line placed. The line
was used for drug and blood product delivery during the surgical procedure with no apparent
complications. The most important management when he arrives in the intensive care unit is to
 A. aspirate of the central line injection port
 B. do nothing since the line was used without issue
 C. obtain a chest radiograph
 D. order an echocardiogram
 E. order an intravenous contrast study under fluoroscopy