Central venous catheter malposition into intrapleural space (original) (raw)
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Central venous catheter malposition into axillary vein
International Journal of Research in Medical Sciences, 2014
Placement of CVC can lead to complications such as, malposition of the catheter and complications relating to perforation and/or injury of nearby blood vessels and structures. We present a case report is about malposition of central venous catheter (CVC) from right internal jugular vein (IJV) into right subclavian and axillary vein. It is advisable to check free venous outflow in all the ports of CVC, central venous waveform should obtained with transducer in place and following placement of CVC catheter, chest radiograph should be completed to confirm the position.
Central Venous Catheter Malposition: Two Case Reports
2019
Introduction: Unintended vessel advancement during central venous catheter (CVC) insertion is a rare but serious complication. To reduce the complications whileCVC placement, the practitioner should be experienced. After the placement it is required to verify correctness. Case Presentation : · Case 1: A 65-year-old male patient who returned as hypotensive after cardiopulmonary resuscitation was planned with CVC insertion formonitoring central venous pressure, fluid replacement and inotropic support. As the patient’s hemostatic parameterswere normal, catheter was placed into the right subclavian vein. Posterior-anterior chest radiograph(CR) was used to confirm catheterization site. It was found that catheter tip was not in normal position, right internal jugular vein(IJV) was directed and twisted in two places. · Case 2: A 64-year-old patient with respiratory distress was conscious of consciousness. The patient’s hemostasis parameters were normal and was placed central catheter into...
Malposition of Subclavian Venous Catheter Leading to Chest Complications
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
Although Central Venous Catheter (CVC) placement is a relatively simple procedure but its insertion and maintenance are associated with significant risks. Malposition (defined as any CVC tip position outside the superior vena cava) may be associated with catheter insertion and may require immediate intervention. It may result in complications like haemothorax, pleural effusions, pneumothorax, sepsis, thrombosis and cardiac tamponade. This case report presents timely detection of the complication after placement of CVC. Everyone should be aware of the complications and monitor consistently appropriate position of catheter tips. [Table/Fig-1]: Chest X-ray showing right sided haemothorax and abnormally placed catheter. [Table/Fig-2]: Chest X-ray showing opaque right lung along with chest tube and abnormal position of the central line catheter. DISCUSSION Central Venous Catheterization (CVC) is a time honored, safe and commonly performed invasive procedure in intensive care units and also in all specialties ranging from oncology, anesthesia, to emergency medicine [1-4]. It plays an indispensable role in the www.jcdr.net
Malposition of central venous catheter
Journal of Anesthesia, 1988
Percutaneous insertion of central venous catheter (CVC) have been widely accepted for monitoring central venous pressure! and for total parenteral nutrltion''. In addition, the catheters have also been used for rapid volume replacement in patients in a state of shock, for insertion of venous pacing electrode and for removal of air emboli that may occur in neurosurgical procedures performed on patients in the sitting position". Much has been written with regard to the complications of CVC 4 • Catheters which are not correctly positioned in the great veins of the thorax are a less commonly appreciated hazard. The author presents a retrospective analysis of malposition of catheter tip based on chest x-ray. Previous reports on malposition of CVC and complications as a result of malposition of CVC in the internal jugular veins will be reviewed. Finally, methods which may be of help in positioning the CVC in the proper location (innominate vein, superior vena cava or right atrium) will be reviewed. Materials and Methods One hundred and eighteen percutaneous central venous cannulations performed on one hundred surgical patients admitted to a general adult surgical intensive care unit were evaluated retrospectively as to the location of the catheter tip. A CVC is judged to oe positioned correctly on clinical
A Rare Case of a Malpositioned Central Venous Catheter
Journal of medical and dental sciences
A Malpositioned Central Venous Catheter is a common but serious complication of central line placement 1-2 .However malpositioning into the contralateral subclavian is extremely unusual. The authors describe a case in which a catheter is inserted via a right sided infraclavicular approach and malpositions itself into the contralateral subclavian vein. INTRODUCTION: Malposition of central venous catheter is well known technical complications. Its incidence during Subclavian vein puncture is reported to vary from 1.8% 3 to 9.3% 4 Most commonly,the right subclavian venous catheter gets malpositioned to ipsilateral internal jugular vein 3 . Malpositioning into the contralateral sublavian vein is highly unusual.
Malposition of Central Venous Catheter – Three case reports
Central Venous Cannulation is a routine procedure done in the Operation Theatre and the Intensive Care Unit. Malpositioning is a very common occurance with the regular anatomical landmark technique. As the central venous catheters are essential in various critical care scenarios, hence any misplacement can hamper its purpose. Here we have three cases where in we saw the migration of the Right Subclavian Vein Catheter into the Ipsilateral Internal Jugular Vein, Contralateral Subclavian Vein and into the Ipsilateral External Jugular Vein radiologically. Hence a thorough knowledge of normal and variant anatomy is required for the proper positioning of Central Venous Catheters. Also radiological techniques like ultrasound guided cannulation may avoid inadverdent arterial puncture but may not be able to avoid malpositioning.
A Rare Central Venous Catheter Malposition: A Case Report
Anesthesiology and Pain Medicine, 2014
Introduction: Central venous catheter placement is a routine procedure for the management of critically ill patients; however, it is important to ensure its proper placement. A central venous catheter malposition may cause various complications, some of which can be fatal. Case Presentation: We report an unexpected malposition of a catheter in the left internal jugular vein, where it entered into the left internal mammary vein. Conclusions: We think one of the influential factors for leading a guidewire and catheter into a nominated vein may be the left sided bevel of the needle at the time of internal jugular vein needle and catheter insertion. We were required to continue going towards the subclavian vein and accidentally turned into the left internal mammary vein.
Journal of Ankara University Faculty of Medicine, 2021
Objectives: We aimed to present the clinical characteristics of patients with catheter malposition following central venous catheterization, and to review the relevant literature. Materials and Methods: A total of 1816 patients who underwent central venous catheterization via internal jugular or subclavian vein in a tertiary referral hospital between January 2011 and December 2018 were researched for this cross-sectional study. Among them, procedure-related catheter malposition was detected in 23 cases, and the study population composed of these cases with catheter malposition. Medical data of study population were obtained and retrospectively reviewed. Results: The rate of catheter malposition following central venous catheterization was 1.26%. The mean age of the study population was 55.1±21.3 years, and 52.2% of them were male. The blind-landmark technique without ultrasound guidance was the selected approach in 21 of cases (91.3%). In study population, additional procedure-related complications were subcutaneous hematoma, pneumothorax, and hemo-pneumothorax in six, three and two cases, respectively. In-hospital death was observed in two cases because of the causes other than procedure-related complications. Conclusion: Catheter malposition is a relatively lesser encountered but an important complication of central venous catheterization. We suggest that during central venous catheterization, the radiological-guided approach should be of choice instead of the blind-landmark technique to minimize the risk of catheter malposition.
A malpositioned central venous catheter
Cannulation of the subclavian vein (SCV) has been associated with some of the inherent risks. Post procedure chest x-ray is routinely done to confirm correct position and rule out any complication. Malpositioning of the CVC is although common but is a serious complication of central line placement. We discuss such a case of malpositioned CVC into left subclavian vein through right sided subclavian approach.