A Case Series of Life-Threatening Complications of Central Venous Catheter Insertion
Autor: | Şahin Sincar, Gökhan Kalkan, Emine Akkuzu |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Central line Catheterization Central Venous Catheter insertion Vena Cava Superior Pleural effusion business.industry medicine.medical_treatment Critical Illness General Medicine Emergency department medicine.disease Surgery Catheter Intensive Care Units Superior vena cava Intensive care Pediatrics Perinatology and Child Health Emergency Medicine medicine Central Venous Catheters Humans business Central venous catheter |
Zdroj: | Pediatric emergency care. 37(11) |
ISSN: | 1535-1815 |
Popis: | Central venous catheters are commonly used in emergency department and the intensive care units for the treatment of critically ill patients. Reports on the rate of mechanical complications of catheter insertion are around 1%. Mechanical complications related with the insertion of the catheter mainly depend on the anatomic location, the use of ultrasound, and experience of the operator. The rate of complication is higher in places where central lines are not routinely inserted as in emergency department. Here, we report a case series of 4 patients who had life-threatening complications of central venous catheter insertion, including venous intimal injury leading to pleural effusion, kinked central venous catheter in the superior vena cava, knotted guidewire with the separation of coil and core, and a missed guidewire with their respective insertion history and imaging. Increasing the awareness of and developing strategies to prevent these rare but potentially fatal conditions may have impact on patient outcomes. |
Databáze: | OpenAIRE |
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