Publication: Malposition of Central Venous Catheter Inserted under Ultrasound Guidance in Intensive Care Unit: A Case Series
Date
2020
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 515 - 518
Publisher
Nepal Medical Association
Abstract
Abstract
Malposition of central venous catheter tip inserted into the subclavian and internal jugular vein is a rare unavoidable complication that can be decreased if inserted under ultrasound guidance. We report case series of three patients, two of subclavian and another of internal jugular inserted central venous catheter, in which the catheter malpositioned into ipsilateral internal jugular and subclavian vein respectively but had no effect on patient management. From this, we want to emphasize that the effect of malposition of central venous catheter tip depends upon the indication for which central venous catheter was inserted; it can be detected bedside by ultrasound and flush test.
Keywords: central venous catheter, internal jugular, malposition, subclavian
Description
Niraj Kumar Keyal
Department of Critical Care Medicine, B and C Medical College and Teaching Hospital, Birtamode, Nepal https://orcid.org/0000-0001-8587-1718
Sumal Thapa
Department of Anaesthesia and Critical Care, B & C Medical College Teaching Hospital, Birtamode, Nepal
Pooja Adhikari
Department of Anaesthesia and Critical Care, B & C Medical College Teaching Hospital, Birtamode, Nepal
Sanjeeb Yadav
Department of Critical Care Medicine, B and C Medical College and Teaching Hospital, Birtamode, Nepal
Keywords
central venous catheter, internal jugular, malposition, subclavian
Identifier
https://doi.org/10.31729/jnma.4655