Cardiac tamponade from central venous catheters

Collier, Paul E.; Blocker, Sterling H.; Graff, Daniel M.; Doyle, P. T.

doi:10.1016/s0002-9610(98)00171-8

Cited by 166 publications

(96 citation statements)

References 4 publications

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“…Infections and thrombosis are the most frequent adverse events related to CVC [17,18] , but other rare complications can appear [19][20][21][22] . Indeed, retention of a broken CVC either in the pulmonary artery or in the inferior vena cava, cardiac tamponade, spontaneous CVC fracture, pulmonary em- bolization, can occur.…”

Section: Resultsmentioning

confidence: 99%

Unusual Complication of Central Venous Catheter in Hemodialysis

Iorio

Mondillo²,

Bortone³

et al. 2005

Blood Purif

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Section: Resultsmentioning

confidence: 99%

Unusual Complication of Central Venous Catheter in Hemodialysis

Iorio

Mondillo²,

Bortone³

et al. 2005

Blood Purif

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“…However, complica ons like pneumothorax, haematoma, thrombosis, nerve injury, arterial puncture, and malposi on are unavoidable in some cases even with the skillful hand and appropriate anatomical landmark 4 technique. Catheter p malposi on is one of such complica ons which can lead to the erroneous measurement of the central venous pressure and can predispose to the risk of venous obstruc on, thrombosis ,clo ng or even 5 erosion of the venous wall. The malposi on of catheter p can be suspected when there is erroneous CVP value or subop mal waveform pa ern which can be confirmed by 6 the chest radiography and real me ultrasound.…”

Section: Introductionmentioning

confidence: 99%

“…The misplacement of the catheter p can occur at the me of inser on with the guide wire going into the wrong direc on or later on due to the migra on of the catheter p due to the inappropriate movement or intra thoracic pressure changes induced by coughing, sneezing or straining. The various factors like posi on of the head, force applied for threading the guide wire and catheter, the caliber of the vein can be 5 responsible for the inappropriate posi on of the p.…”

Section: Introductionmentioning

confidence: 99%

A Study of Malposition of Central Venous Catheter – A Comparative Study between Ultrasound Guided and Anatomical Landmark Technique

Rajbanshi

Karki

Arjyal

2018

Birat J. Health Sci.

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Introduction: Central venous catheterization is a routine procedure for long-term infusion therapy and central venous pressure measurement. Sometimes, the catheter tip may be unintentionally placed at the position other than the junction of superior vena cava and right atrium. This is called malposition and can lead to erroneous pressure measurement, increase risk of thrombosis, venous obstruction or other life threatening complications like pneumothorax, cardiac temponade.Objectives: This study aimed to observe the incidence of the malposition and compare the same between ultrasound guided catheterization and blind anatomical landmark technique.Methodology: This study was a prospective comparative study conducted at the intensive care unit of Birat Medical College and Teaching Hospital for two-year duration. All the catheterizations were done either with the use of real time ultrasound or blind anatomical landmark technique. The total numbers of central venous catheterization, the total incidences of malposition were observed. Finally the incidences were compared between real time ultrasound guided technique and blind anatomical landmark technique.Results: In two-year duration of the study, a total of 422 central venous cannulations were successfully done. The real time ultrasound was used for 280 cannulations while blind anatomical landmark technique was used for 162 patients. The study observed various malposition in 36 cases (8.5%). The most common malposition was observed for subclavian vein to ipsilateral internal jugular vein (33.3%) followed by subclavian to subclavian vein (27.8%) and internal jugular to ipsilateral subclavian vein (16.7%). In four patients the catheter had a reverse course in the internal jugular vein while the tip was placed in pleural cavity in three cannulations. There was coiling of the catheter inside left subclavian vein in one patient. The malposition was significantly reduced with the use of the real time ultrasound (P< 0.001). However there is no significant difference in the incidence of the various malposition between ultrasound guidance technique and blind anatomical landmark technique when compared individually.Conclusion: The malposition of the central venous catheter tip was common complication with the overall incidence of 8.5%. The most common malposition was subclavian vein to internal jugular vein. The use of real time ultrasound during the catheterization procedure can significantly reduced the risk of malposition.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 277-281

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“…Despite wide publicity of CVC, this procedure may be accompanied by various complications such as catheter misplacement, pneumothorax, arterial puncture, and hematoma [5][6][7][8][9][10][11]. Furthermore, catheter misplacement may lead to more perilous occurrence such as death; hence localization of catheter is essentially important procedure [12,13].…”

Section: Introductionmentioning

confidence: 99%

Sonography for Localization of Central Venous Catheter Location: A Reliable Alternative to Radiography

Anoosheh¹,

Abbasi²,

Mofìdi³

2017

ASS

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Introduction: Localization of Control Venous Catheter (CVC) is essential in emergency (ER) and ICU settings;accurately confirming of the location of CVC may enable clinician to minimize the risk of the procedure. Radiography and Sonography are two common procedures, which is used for localization of CVC. Due to volatile hemodynamic nature of patients, it is vital to follow CVC procedure and diagnose possible side effects and complications as soon as possible. Aim of current study is to assess efficacy, practicality and procedure time-curve between two aforementioned methods (Sonography Versus Radiography). After CV line preparation. Methodology: In current cross-sectional study we obtained 201 participants via convenient sampling method from Rasoul-E-Akram Hospital, Haftom-E-Tir Hospital and Firoozgar hospital. Participants were chosen from patients older than 18, who were admitted to ER or ICU in aforementioned hospitals and were candidate for CV line preparation. Following CVC procedure, physicians proceeded with radiography and sonography among all patients and compared approaches with respect to, timing, confirmation of catheter location and post CVC complications. Results: The average time of sonography procedure was estimated roughly 2.08 minutes, in which the maximum time was 5.5 minutes and the minimum time was 1.04 minutes. The standard deviation suggested that the sonography time for most of patients was about 2 minutes. Variance of sonography time among the above population was not reported. The data analysis showed that Chest XRay (CXR) time average for studied patients was about 40.82 minutes, in which the minimum time was 10 minutes and the maximum time was 150.15 minutes. The standard deviation of this variable suggested that variance level and CXR time difference among aforementioned patients were high (about 28.2). Bubble was found in the sonography of 199 cases and just two cases were excluded. According to these results, sensitivity of sonography was 99%, specificity was 100% and Kappa coefficient between sonography and radiography was 98%. Conclusion: All in all, with respect to high correlation in accurate localization of CVC in both approaches (radiography and sonography) plus competitive advantage of sonography over radiography by maintaining shorter time in confirmation of CVC location, sonography can be discussed as optimum and routine modality with respect catheter location confirmation in emergency settings.

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Cardiac tamponade from central venous catheters

Cited by 166 publications

References 4 publications

Unusual Complication of Central Venous Catheter in Hemodialysis

Unusual Complication of Central Venous Catheter in Hemodialysis

A Study of Malposition of Central Venous Catheter – A Comparative Study between Ultrasound Guided and Anatomical Landmark Technique

Sonography for Localization of Central Venous Catheter Location: A Reliable Alternative to Radiography

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