A Case Report of Surgical Entrapment and Catheter Embolization: A Rare Complication of Peripherally Inserted Central Catheters

Abstract

Peripherally inserted central catheters (PICCs) are a feasible alternative to conventional central venous access. PICCs are often used perioperatively for central venous pressure monitoring and administration of vasoactive drugs especially in cancer patients. Catheter breakage and embolization are rare but potentially fatal complications, and most of the reported literature pertains to pediatric patients after medium- to long-term use. In this report, we describe a rare scenario of catheter breakage, entrapment, and embolization in a patient caused by inadvertent surgical clip and suture placement.

Severe Hyponatremia and Seizure From Peripheral Infusion of Norepinephrine Diluted in Dextrose 5% in Water: A Case Report

“…[4][5][6] Delivery of norepinephrine through peripheral intravenous lines decreases the risk of bleeding, pneumothorax, deep venous thrombosis and infection from CVC placement, among other complications. [7][8][9] Peripherally administered norepinephrine can be diluted in dextrose 5% in water (D5W) or normal saline (NS), but excessive administration of D5W can be harmful for many patients, including those with traumatic brain injury, preexisting hyponatremia, or significant tissue edema. 10 We present a case of severe hyponatremia and seizure in a patient with renal failure receiving peripheral norepinephrine for septic shock.…”