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KMID : 1155520100050030264
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Anesthesia and Pain Medicine
2010 Volume.5 No. 3 p.264 ~ p.266
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Accidental malpositioning of 9Fr central venous catheter in the right subclavian vein via right internal jugular vein -A case report-
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Yang Soo-Hyun
Gwak Mi-Sook
Kim Gaab-Soo
Ko Sang-Wook
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Abstract
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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.
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KEYWORD
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Central venous catheter, Malposition, Subclavian vein
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