Central venous catheter malposition due to dialysis catheter: a case report.
10.4097/kjae.2016.69.5.532
- Author:
Parnandi Bhaskar RAO
1
;
Neha SINGH
;
Sumanth SAMSON
Author Information
1. Department of Anesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Bhubaneswar, India. drbhaskar.com@gmail.com
- Publication Type:Case Report
- Keywords:
Catheter malposition;
Chest X-ray;
Dialysis catheter
- MeSH:
Brachiocephalic Veins;
Catheterization;
Catheters*;
Central Venous Catheters*;
Dialysis*;
Humans;
Intensive Care Units;
Jugular Veins;
Middle Aged;
Renal Dialysis;
Shock, Septic;
Thorax
- From:Korean Journal of Anesthesiology
2016;69(5):532-534
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 56-year-old man on maintenance hemodialysis was admitted to the intensive care unit with septic shock and coagulopathy. As there was a dialysis catheter in the right internal jugular vein, the left internal jugular vein was cannulated with a central venous catheter to initiate vasopressor therapy. A chest X-ray showed formation of a catheter loop inside the left brachiocephalic vein, probably due to hindrance by the dialysis catheter. This report describes the hurdles encountered, repeated cannulation attempts, and serial chest X-ray findings required to obtain acceptable placement of the catheter tip.
