Life-threatening fluid extravasation of central venous catheters
| Autor: | Irwin H. Krasna, Tyrone J. Krause |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
medicine.medical_specialty
Catheterization Central Venous Hydrothorax Inferior vena cava Superior vena cava Occlusion Medicine Humans Peritoneal Cavity Central line business.industry Infant General Medicine medicine.disease Surgery Radiography Catheter medicine.vein Pneumothorax Anesthesia Pediatrics Perinatology and Child Health Pleura Female Peritoneum business Hydroperitoneum Extravasation of Diagnostic and Therapeutic Materials |
| Zdroj: | Journal of pediatric surgery. 26(11) |
| ISSN: | 0022-3468 |
| Popis: | The majority of life-threatening injuries secondary to the placement of central venous catheters, such as bleeding and pneumothorax, occur at the time of initial insertion. When a catheter extravasates in the neck, edema of the neck wall or chest is usually seen, and the pump indicates occlusion. We present four cases in which an uneventful, successful placement of four central lines (three superior vena cava, one inferior vena cava) were followed at greater than 48 hours by either hydrothorax or hydroperitoneum, which resulted in either cardiorespiratory collapse or intraabdominal sepsis. In reviewing these cases, all showed both a change in catheter location on a subsequent x-ray and poor or no blood return on aspiration; paradoxically, the infusion pump in each case did not sense a catheter malposition or occlusion. We conclude that, although the success of central line placement may be documented on insertion, a continual reappraisal of both the function and location of the line is necessary. |
| Databáze: | OpenAIRE |
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