Anterior Mediastinal Central Line Malposition

Autor: Guido Turi, Paolo Tordiglione, Fabio Araimo
Rok vydání: 2013
Předmět:
Zdroj: Anesthesia & Analgesia. 117:123-125
ISSN: 0003-2999
DOI: 10.1213/ane.0b013e31824e2d37
Popis: Central venous catheter (CVC) placement is a routine procedure in the management of critically ill patients. It is important to ensure correct positioning of the catheter tip just above the junction of the superior vena cava and the right atrium, to reduce associated complications and to optimize catheter function. The incidence of catheter misplacement is approximately 3%-4% for both subclavian and internal jugular vein access procedures. CVC placement in the right subclavian vein is associated with a higher risk of malposition.(1) We report an unexpected secondary malposition of a right subclavian CVC in the anterior mediastinum, with resultant vena caval perforation in a patient admitted to the neuro-critical care unit after undergoing a craniotomy procedure.
Databáze: OpenAIRE