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More articles from Volume 47, Issue 2, 2019

HISTOLOGICAL CHARACTERISTICS AND VOLUME DENSITY OF ELASTIC FIBERS IN THE DERMIS DURING AGING

THE INFLUENCE OF PHACOEMULSIFICATION ON CORNEAL OEDEMA IN PATIENTS WITH GLAUCOMA

CLINICAL AND MORPHOLOGICAL CHARACTERISTICS OF MALIGNANT MELANOMA

EXAMINATION OF THE IMPACT OF CHARACTERISTICS OF THE HEALTH ISSUES, LENGTH OF TIME SINCE THEMYOCARDIAL INFARCTION AND COMORBIDITY TO THE QUALITY OF LIFE OF DISEASED OF MYOCARDIAL INFARCTION

RISK FACTORS FOR POSTPARTUM DEPRESSION IN THE EARLY POSTPARTUM PERIOD

RARE MALPOSITION OF CENTRAL VENOUS CATHETER

Nebojša Videnović ,
Nebojša Videnović

Department of Anesthesiology and Intensive Care, Medical Faculty, University of Priština - Kosovska Mitrovica, Mitrovica, Kosovo

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Bojan Stojičević ,
Bojan Stojičević

General Hospital of Kosovska Mitrovica, Kosovo*

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Ranko Zdravkovic ,
Ranko Zdravkovic

Department of Anesthesiology, Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia

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Jovan Mladenovic
Jovan Mladenovic

Department of Surgery, Medical Faculty , University of Priština - Kosovska Mitrovica, Mitrovica, Kosovo

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Published: 01.12.2019.

Volume 47, Issue 2 (2019)

pp. 47-50;

https://doi.org/10.70949/pramed201902432V

Abstract

Introduction:Although placement of the central venous catheter is a routine procedure carried out by anesthesiologists, it
carries a certain risk of complications. One of the complications is malposition, or inadequate catheter position.


Case report: We present a case of the patient who was admitted to an intensive care unit due to head injury and blood
vomiting. The central venous catheter was inserted through the right internal jugular vein. Due to haemodynamic instability and the need for fluid and blood infusion, a chest x-ray examination was not immediately performed to evaluate the position of the catheter. After the patient was stabilized, the test was performed and revealed that the tip of the catheter was not located in the superior vena cava but in the right subclavian vein.


Conclusion: This case has shown that the misplacement of the central venous catheter tip is not unusual. Once in the venous system, even when it is not located in the superior vena cava, it can be used for initial fluid replacement and drug administration, and after the patient is stabilized, the repositioning or placement of a new catheter should be considered. 

Keywords

internal jugular vein,

subclavian vein,

malposition,

venous catheter

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