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

  • Gentle Sunder Shrestha Neuro-Intensivist and Anaesthesiologist, Institute of Medicine, Tribhuvan University Teaching Hospital
  • Bishesh Sharma Poudyal Clinical Haematologist and Bone marrow Transplant Physician. Department of Internal Medicine, Civil Service Hospital, Kathmandu
Keywords: central venous catheter, malposition, point-of-care ultrasonography

Abstract

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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Author Biography

Gentle Sunder Shrestha, Neuro-Intensivist and Anaesthesiologist, Institute of Medicine, Tribhuvan University Teaching Hospital


Published
2016-06-01
How to Cite
Shrestha, G., & Poudyal, B. (2016). 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. Bangladesh Critical Care Journal, 4(1), 44-45. https://doi.org/10.3329/bccj.v4i1.27980
Section
Case Reports