Accidental malpositioning of 9Fr central venous catheter in the right subclavian vein via right internal jugular vein: A case report.
- Author:
Soo Hyun YANG
1
;
Justin Sangwook KO
;
Gaab Soo KIM
;
Mi Sook GWAK
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jsko@skku.edu
- Publication Type:Case Report
- Keywords:
Central venous catheter;
Malposition;
Subclavian vein
- MeSH:
Cardiac Tamponade;
Catheterization, Central Venous;
Catheters;
Central Venous Catheters;
Hemodynamics;
Humans;
Jugular Veins;
Liver;
Pneumothorax;
Punctures;
Subclavian Vein
- From:Anesthesia and Pain Medicine
2010;5(3):264-266
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Central venous catheters can provide important hemodynamic information in patients with cardiopulmonary disease and access for medicine, fluid, and blood administration during surgery. The placement of central venous catheters is associated with a complication rate of 0.4% to 20%, including pneumothorax, arterial puncture, infection and cardiac tamponade. In addition, malposition of central venous catheter is another complication of central venous catheterization. We report a case of malpositioning of central venous catheter which is located in the right subclavian vein via internal jugular vein in a liver transplant recipient. The malpositioning was confirmed by portable X-ray after several field attempts to advance Swan-Ganz catheter and achieve normal sequences of pressure waves.
