A rare complication of central venous catheter insertion

Czech version

Authors: T. Bělohlávek ¹; V. Zoľák ¹; J. Köppl ²; S. Nosáľ ¹
Authors‘ workplace: Klinika detskej anestéziológie a intenzívnej medicíny Univerzitná nemocnica Martin, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave ¹; Detská klinika anestéziológie a intenzívnej medicíny LF UK, LF SZU a NÚDCH, Bratislava ²
Published in: Anest. intenziv. Med., 32, 2021, č. 1, s. 44-47
Category: Case Reports

Overview

The insertion of a central venous catheter is an integral part of the therapy and monitoring of critically ill patients in intensive care units. Although, ultrasonography significantly improves the success and safety of insertion, it is still invasive procedure associated with the risk of many complications. Rare, later complications include migration – leaving the end of initially in the correct position inserted catheter. The exact mechanism of migration is unknown. In the present text, we describe a case of rare migration of a central venous catheter inserted through the right internal jugular vein originally into the right heart atrium back to the right internal jugular vein in a 4,5-year-old girl with polytrauma.

Keywords:

central venous catheter – complications – migration of the catheter – internal jugular vein

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