An unusual malposition of central venous catheter in critically ill patient. Could it be identified during catheterization? The potential role of point-of-care ultrasonography
Keywords:
central venous catheter, malposition, point-of-care ultrasonographyAbstract
Malpositioning of central venous catheter is not uncommon and can be associated with complications. We report a case where central venous catheter inserted through right internal jugular approach under real time ultrasonographic guidance was malpositioned with its tip in left brachio-cephalic vein. Chest radiograph for detection of catheter malpositioning is associated with time delay and radiation exposure. Point-of-care ultrasonography can be a valuable bedside tool to identify catheter malpositioning during catheter insertion, thus facilitating immediate catheter repositioning and early use of central venous catheter.
Bangladesh Crit Care J March 2016; 4 (1): 44-45
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