scholarly journals Catheter Displacement into Inferior Epigastric Vein Causing Local Phlebitis and Cellulitis

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Noriko Hattori ◽  
Hidenori Hattori ◽  
Kazushi Takahashi ◽  
Norihiro Suzuki ◽  
Kazuo Kishi

Catheter insertion for intravenous hyperalimentation is a commonly and widely used clinical technique. When compared with the incidence of complications associated with insertions into the internal jugular vein or the subclavian vein, complications associated with insertions into the femoral vein are less frequent. In this paper, we describe a very rare complication of femoral vein catheter insertion—namely, catheter displacement into the inferior epigastric vein.

2013 ◽  
Vol 22 (02) ◽  
pp. 218-220
Author(s):  
Ozturk Ates ◽  
Ismail Kocyigit ◽  
Havva Cilan ◽  
Nilufer Oguzhan ◽  
Bulent Tokgoz ◽  
...  

2001 ◽  
Vol 95 (6) ◽  
pp. 1377-1379 ◽  
Author(s):  
Sushil P. Ambesh ◽  
Jyotish C. Pandey ◽  
Prakash K. Dubey

Background During subclavian vein catheterization, the most common misplacement of the catheter is cephalad, into the ipsilateral internal jugular vein (IJV). This can be detected by chest radiography. However, after any repositioning of the catheter, subsequent chest radiography is required. In an effort to simplify the detection of a misplaced subclavian vein catheter, the authors assessed a previously published detection method. Methods One hundred adult patients scheduled for subclavian vein cannulation were included in this study. After placement of subclavian vein catheter, chest radiography was performed. While the x-ray film was being processed, the authors performed an IJV occlusion test by applying external pressure on the IJV for approximately 10 s in the supraclavicular area and observed the change in central venous pressure and its waveform pattern. The observations thus obtained were compared with the position of catheter in chest radiographs, and the sensitivity and specificity of this method were evaluated using a 2 x 2 table. Results In 96 patients, subclavian vein cannulation was successfully performed. In four patients, cannulation was unsuccessful; therefore, these patients were excluded from the study. There were six misplacements of venous catheters as detected by radiography. In five (5.2%) patients, the catheter tip was located in the ipsilateral IJV, and in one (1.02%), the catheter tip was located in the contralateral subclavian vein. In the patients who had a misplaced catheter into the IJV, IJV occlusion test results were positive, with an increase of 3-5 mmHg in central venous pressure, whereas the test results were negative in patients who had normally placed catheters or misplacement of a catheter other than in the IJV. There were no false-positive or false-negative test results. Conclusion The IJV occlusion test successfully detects the misplacement of subclavian vein catheter into the IJV. However, it does not detect any other misplacement. The test may allow avoidance of repeated exposure to x-rays after catheter insertion and repositioning.


2009 ◽  
Vol 102 (4) ◽  
pp. 499-502 ◽  
Author(s):  
G.P. Rath ◽  
P.K. Bithal ◽  
G.R. Toshniwal ◽  
H. Prabhakar ◽  
H.H. Dash

2021 ◽  
Vol 8 (36) ◽  
pp. 3312-3315
Author(s):  
Shafeedha Rashbi Karakulangara ◽  
Rajan Joseph Payyappilly

A 63-year-old male patient with diabetes mellitus, hypertension and chronic kidney disease who has been undergoing haemodialysis thrice weekly developed fever and shivering during haemodialysis for one week. He was doing haemodialysis from elsewhere and presented to nephrology department of our hospital with the same complaints. The patient had an intravenous catheter over left internal jugular vein, which was placed one month back from elsewhere for doing haemodialysis. He is a known case of diabetes mellitus and hypertension for the past ten years and on regular medications. On examination, the patient was moderately built and nourished, pallor was present and icterus, cyanosis, clubbing, lymphadenopathy, oedema were absent. His respiratory, cardiovascular, central nervous and gastro intestinal system examinations were within normal limit. The patient was febrile (101̊ F). pulse rate - 98/min, blood pressure – 150/80 mmHg, respiratory rate - 20 cycles per minute, fasting blood sugar - 140 mg/dl, Hb – 9 mg%, WBC count - 5600/μL. On local examination, mild erythema was noted over his neck on intravenous catheter site of left internal jugular vein. Other investigations were within normal limit. Human immunodeficiency virus (HIV), HBsAg and hepatitis C virus (HCV) antibodies were negative. The urine and sputum cultures were done to rule out any genitourinary or respiratory system involvement. Both cultures yielded no pathogens. The patient was treated with removal of internal jugular vein catheter, and a femoral vein catheter was placed. Blood and tip of intravenous catheter were sent to microbiology laboratory for culture and sensitivity testing. The patient was empirically started on intravenous antibiotic vancomycin.


2017 ◽  
Vol 43 (5) ◽  
pp. 711-712 ◽  
Author(s):  
Shunpeng Xing ◽  
Daxiang Wen ◽  
Ling Zhu ◽  
Jiemin Wang ◽  
Zhe Li ◽  
...  

1994 ◽  
Vol 108 (2) ◽  
pp. 159-160
Author(s):  
Masanori Sakaguchi ◽  
Kiichiro Taguchi ◽  
Tetsuya Ishiyama

AbstractWhile the numerous complications of intravenous hyperalimentation (IVH) are well recognized, we encountered a unique one. A 60-year-old man developed a sore throat, neck pain and fever seven days after catheterization of the subclavian vein to provide post-operative nutrition. Marked swelling was visible at the right posterior wall of his oropharynx and hypopharynx. X-ray of the neck revealed that the tip of the catheter was positioned in the internal jugular vein, not the subclavian vein as intended. The acute pharyngitis, diagnosed as due to phlebitis of the internal jugular vein due to the malpositioned catheter, subsided within two days of catheter removal.


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