Hazarc with a triple lumen catheter

Abstract

An 86-year-old woman was admitted to the Intensive Care Unit following open reduction and internal fixation of multiple long bone fractures sustained in a road traffic accident. A 20 cm Viggo Spectramed Secalon triple lumen Hydrocath central venous catheter (one 16 and two 18 gauge lumina) was inserted via the right subclavian vein by the lateral approach as part of her postoperative management. It was sutured in place at the skin entry point and at the hub and a chest X ray demonstrated a satisfactory position. Inotropes were infused through the 16 gauge lumen, total parenteral nutrition (TPN) through the first 18 gauge lumen, and the third lumen was used for central venous pressure measurement.