Malposition of Central Venous Catheter Inserted under Ultrasound Guidance in Intensive Care Unit: A Case Series

Keyal, Niraj Kumar; Thapa, Sumal; Adhikari, Pooja; Yadav, Sanjeeb Kumar

doi:10.31729/jnma.4655

Cited by 1 publication

(1 citation statement)

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“…In our study, intraoperative radioscopy was not associated with a negative or positive outcome in terms of complications. It is believed that its importance is only to assess whether the guide wire is well positioned during the procedure, so that there are no surprises, such as poor positioning of the catheter, a rare fact described in the literature [8][9][10] .…”

Section: Discussionmentioning

confidence: 99%

Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service

Cardoso

Wengrover

Würzius

et al. 2022

Rev. Col. Bras. Cir.

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Objective: to demonstrate that the use of the portocath implantation technique without tunneling the catheter is not associated with a higher rate of complications in the short or long term. In addition, we aim to improve the implantation technique of the portocath device, with the presentation of a step-by-step guide for surgeons in training. Methods: this is a retrospective descriptive study, with analytical components. Data were analyzed using information extracted from electronic medical records linked to the National Health Care procedure code between the years 2019-2020. Results: none of the 94 procedures resulted in complications on the day they were performed. Complications were recorded seven days after the procedure in only two patients (2.13%). Intraoperative radioscopy had been performed in both cases. Thirty days afters the procedure, complications were observed in two patients among the remaining 92 (2.17%), both undergoing catheter implantation without tunneling. There were no complications in the six months after portocath implantation in 57.4% of patients and there is no information about the other 42.6%. Conclusion: the portocath insertion technique without tunneling is a safe outpatient procedure, with a low risk of complications, and can be adopted to shorten procedure time and patient discomfort, without functional or safety impairments. There was no association of not tunneling the catheter, laterality of the punctured vein and performing radioscopy in the transoperative period with the rate of complications.

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Section: Discussionmentioning

confidence: 99%