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
Citations
0
RARE MALPOSITION OF CENTRAL VENOUS CATHETER
Department of Anesthesiology and Intensive Care, Medical Faculty, University of Priština - Kosovska Mitrovica , Mitrovica , Kosovo
General Hospital of Kosovska Mitrovica Kosovo*
Department of Anesthesiology, Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica Serbia
Department of Surgery, Medical Faculty , University of Priština - Kosovska Mitrovica , Mitrovica , Kosovo
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
References
Citation
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Article metrics
The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.
