A rare misplacement of a central venous catheter

Khan, Faiz

doi:10.1046/j.1365-2346.2000.00714.x

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…Cardiac tamponade, which was probably caused by cannulation of a small vein (pericardiophrenic) in our patient, is an extremely rare complication (4, 6). Sporadic cases of CT caused by CVC placement have been reported in adults, children and neonates (3, 7), but the actual incidence is unknown (7).…”

Section: Discussionmentioning

confidence: 70%

“…A number of complications have been described in association with CVC misplacement, including arterial puncture, pneumothorax, hemothorax, cardiac dysrhythmia, Horner's syndrome, brachial plexus lesion, laceration of a vertebral artery, thoracic duct lesion, air embolism and tracheal laceration (4). Several risk factors inherent to CVC insertion have been identified (2–6) such as the venous route selected, the position and movement of the catheter tip with postural changes, the angle of the tip against the vessel or cardiac walls and the material used for catheters and insertion guidewires. The potential danger of incorrect catheter tip position seems to be particularly related to its movement during changes in arm, neck or head position and after changing to the decubitus.…”

Section: Discussionmentioning

confidence: 99%

“…The review by Mhun et al . (6) of 2580 patients with a CVC showed catheter tip malposition in 1·1% for the right internal jugular vein and 4·2% for the left. Among these patients, cannulation of small veins was documented in only two cases.…”

Section: Discussionmentioning

confidence: 99%

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Cardiac tamponade associated with a peripheral vein central venous catheter

Godet¹,

Pellisé

González-P³

et al. 2005

Pediatric Anesthesia

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SummaryWe present a case of cardiac tamponade associated with placement of a central venous catheter (CVC) via a peripheral vein in a 14-year-old girl with idiopathic scoliosis undergoing corrective surgery. A number of complications have been described in association with CVC misplacement. Sporadic cases of cardiac tamponade from this have been reported, but the actual incidence is unknown. Death from cardiac tamponade attributed to CVCs ranges from 65 to 100%. In our patient, cannulation of the pericardiophrenic vein was probably the cause of cardiac tamponade, based on radiological evidence that the initial location of the catheter was near the right atrium and possibly at the outlet of the pericardiophrenic vein. The catheter could have advanced into the vein and then to the pericardial sac with postural changes. The acute clinical course of cardiac tamponade in our patient had potentially lethal hemodynamic repercussions. The main diagnostic test for this condition is echocardiography and the only effective treatment is drainage of the pericardial effusion. Echocardiography should be performed before pericardiocentesis except in life-threatening situations or high clinical suspicion. Although they are rare, it is important to be aware of the potential for CVC complications.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

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Cardiac tamponade associated with a peripheral vein central venous catheter

Godet¹,

Pellisé

González-P³

et al. 2005

Pediatric Anesthesia

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“…Thus, some parameters such as porosity, water content, swelling, and thickness were determined [19][20][21] and results are given in Table III. Thus, some parameters such as porosity, water content, swelling, and thickness were determined [19][20][21] and results are given in Table III.…”

Section: Characterization Of Pmma-zno Fibrous Anion Exchanger Membranementioning

confidence: 99%

Electrochemical Sensing Studies of Selective Poly(methyl methacrylate)–Zinc Oxide Fibrous Anion Exchanger

2016

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Polymethylmethacrylate-ZnO (PMMA-ZnO) fibrous anion exchanger was prepared by solid-gel method. The structure and morphology of the prepared fibrous anion exchanger were characterized by Fourier transform spectroscopy (FTIR), Field emission Scanning electron microscopy (FE-SEM), Transmission electron microscopy (TEM), X-ray diffraction (XRD), thermogravimetric analysis (TGA), and Energy-dispersive X-ray (EDX) analysis. The dielectrical constants (e 0 , e″), dielectric loss (tand), and AC conductivity (r ac ) were studied as a function of frequency. The material was found to be highly desirable for electroanalytical application as anionic sensor; its membrane electrode has been developed for the detection of AsO À3 4 in solutions. The detection limit of AsO À3 4 selective membrane electrode is 1 9 10 À9 M to 1 9 10 À1 M with a response time of 35 s and its working pH range is 4-7. The selectivity coefficient values for interfering ions indicate good selectivity for arsenate (AsO À3 4 ) over interfering anions. The accuracy of the results was compared by Portable Coulometric Analyzer (PCA-Arsenomat).PMMA-ZnO anion exchanger 4 ions over other interfering ions.

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“…The advent of organic inorganic ionomeric composite materials [1][2][3][4][5] not only suggest a new class in material chemistry but also provide an excellent ion exchanger which can be used successfully in versatile analytical techniques. Therefore organic-inorganic composite materials are of intensive interest in the field of contemporary material chemistry as these materials exhibit extraordinary electrical, magnetic and optical properties, which arise from the synergism between the properties of the organic-inorganic components.…”

Section: Introductionmentioning

confidence: 99%