A resident's 20 failed central line insertion attempts created multiple introducer holes.

“I remember one night I tried to put a central line couldn't get it and I signed it out to the other resident and I said I tried I couldn't get it I tried I don't know five or six times and then he went to do it and he said I was able to get it by the way I think you tried more than five or six times I said what do you mean he says other word twenty introducer holes in the neck area where you win and I thought gosh the patient was ventilated they were intubated I just had no idea how difficult it could be”