Potentially lethal complications of central venous catheter placement

Bagwell, Charles E.; Salzberg, A.M.; Sonnino, Roberta; Haynes, Jeffrey H.

doi:10.1053/jpsu.2000.6029

Cited by 98 publications

(44 citation statements)

References 12 publications

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“…The internal jugular vein provides a predictable path for central venous cannulation, although it is more difficult to cannulate in infants than in adults and even more difficult the smaller the newborn. Also, complications in pediatric patients are greater [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Vascular assessment of the right internal jugular vein in low birth weight newborns

Montes-Tapia

Rodríguez-Taméz

Hernández-Garduño

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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Objective: To determine the dimensions and depth of the right internal jugular vein (RIJV) in low birth weight newborns by ultrasound and assess the differences in weight and determine the relationship of the vein with the carotid artery. Method: We performed a vascular assessment of the RIJV in 100 low birth weight newborns. The subjects were divided into three groups, low birth weight (LBW) newborns, 52500 g; very low birth weight (VLBW) newborns, 51500 g; and extremely low birth weight (ELBW) newborns 51000 g. Results: Of the newborns, 39% had LBW, 33% had VLBW, and 28% had ELBW. The medians were gestational age 31 weeks, weight 1300 g, anteroposterior diameter of the RIJV 2.2 mm, and the distance from the skin-RIJV 3.6 mm. In LBW newborns, the median anteroposterior diameter of RIJV was 2.7 mm; in LBW newborns 2.2; in ELBW newborns 1.9 (p50.001); the median distance from skin to RIJV for LBW newborns was 4.1 mm; for VLBW newborns, 3.6 and for ELBW newborns 2.9 (p50.01); differences that were statistically significant. Conclusions: In low birth weight newborns, the diameter and depth of the RIJV is directly proportional to the weight of the subjects studied.

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Section: Introductionmentioning

confidence: 99%

Vascular assessment of the right internal jugular vein in low birth weight newborns

Montes-Tapia

Rodríguez-Taméz

Hernández-Garduño

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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“…Malpositioned catheters with resultant extravasation injury have been reported [2, 6, 13, 14], but no reports have described such injury in association with intracranial complications. Past reports have identified the usefulness of ultrasound during placement of catheters as well as the importance of radiographic imaging after placement [2, 15].…”

Section: Discussionmentioning

confidence: 99%

“…In a second case report, diaphragmatic palsy developed secondary to subclavian vein thrombosis following catheterization [12]. There has also been documented catheter misplacement associated with saphenous vein catheterization with resulting paraplegia and urinary retention [2, 6, 13, 14]. To date, however, no cases demonstrating intracranial manifestations associated with catheter placement have been described.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Intracranial Complications of Central Venous Catheter Placement

Anderson¹,

Graupman²,

Hall³

et al. 2004

Pediatr Neurosurg

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Central venous catheters are essential in the medical management of critically ill pediatric patients. Medical practitioners should be aware of the potential for misplacement of these devices as such complications may result in serious injury and possible death. Catheter malpositioning is not limited to any particular site and may have far-reaching consequences that affect a single or multiple organ systems. We present two cases where central venous catheter positioning led to complications that resulted in intracranial pathology which was fatal in one case.

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“…Improvement of subclavian and internal jugular vein percutaneous cannulation using ultrasound-guided technique appears to distinguish arterial from venous flow, but it can be unsuccessful and has not been shown to reduce the incidence of complications (Lobe et al, 1993;Nosher et al, 1994;Slama et al, 1997). Albeit rare, lethal complications have also been described even if central catheter placement is performed as an elective procedure in expertised hands (Bagwell et al, 2000). From a surgical point of view, an easier and simpler alternative with minimal risk during insertion could be the route through the external jugular vein cutdown.…”

Section: Introductionmentioning

confidence: 99%

Central venous access through the external jugular vein in children submitted to bone marrow transplantation

Godoy

Otta

Miyazaki

et al. 2005

Braz. arch. biol. technol.

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Establishment of long-term central venous access is a sine qua non step for bone marrow transplantation in children. Most frequently, long-term central venous access has been obtained via blind percutaneous cannulation of subclavian and internal jugular veins or via internal jugular vein cutdown. In order to avoid some potential minor and major complications associated with the subclavian or internal jugular approaches, the authors describe an easy, simple and safe method for central venous access through an external jugular vein cutdown that should be of interest to readers involved in the field of bone marrow transplantation. It should be also considered for children as well as adults needing central venous access via an external catheter -or totally implantable port -for reasonsother than bone marrow transplantation, such as total parenteral nutrition and administration of chemotherapeutic agents.

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Potentially lethal complications of central venous catheter placement

Cited by 98 publications

References 12 publications

Vascular assessment of the right internal jugular vein in low birth weight newborns

Vascular assessment of the right internal jugular vein in low birth weight newborns

Pediatric Intracranial Complications of Central Venous Catheter Placement

Central venous access through the external jugular vein in children submitted to bone marrow transplantation

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