Malposition of Central Venous Catheter Inserted under Ultrasound Guidance in Intensive Care Unit: A Case Series

  • Niraj Kumar Keyal Department of Critical Care Medicine, B and C Medical College and Teaching Hospital, Birtamode, Nepal https://orcid.org/0000-0001-8587-1718
  • Sumal Thapa Department of Anaesthesia and Critical Care, B & C Medical College Teaching Hospital, Birtamode, Nepal
  • Pooja Adhikari Department of Anaesthesia and Critical Care, B & C Medical College Teaching Hospital, Birtamode, Nepal
  • Sanjeeb Yadav Department of Critical Care Medicine, B and C Medical College and Teaching Hospital, Birtamode, Nepal
Keywords: central venous catheter; internal jugular; malposition; subclavian.

Abstract

Malposition of central venous catheter tip inserted into the subclavian and internal jugular vein is a rare unavoidable complication that can be decreased if inserted under ultrasound guidance. We report case series of three patients, two of subclavian and another of internal jugular inserted central venous catheter, in which the catheter malpositioned into ipsilateral internal jugular and subclavian vein respectively but had no effect on patient management. From this, we want to emphasize that the effect of malposition of central venous catheter tip depends upon the indication for which central venous catheter was inserted; it can be detected bedside by ultrasound and flush test.

Published
2020-07-31
How to Cite
Keyal, N. K., Thapa, S., Adhikari, P., & Yadav, S. (2020). Malposition of Central Venous Catheter Inserted under Ultrasound Guidance in Intensive Care Unit: A Case Series. Journal of Nepal Medical Association, 58(227). https://doi.org/10.31729/jnma.4655