Life-Threatening Mediastinal Hematoma Caused by Extravascular Infusion Through a Triple-Lumen Central Venous Catheter

2004 ◽  
Vol 99 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Matthias Hohlrieder ◽  
Rosmarie Oberhammer ◽  
Ingo H. Lorenz ◽  
Josef Margreiter ◽  
Gabriele Kühbacher ◽  
...  
2015 ◽  
Vol 20 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Denise Macklin ◽  
Paul L. Blackburn

Abstract Proper securement provides a safe vascular access device environment for both patients and health care providers. Successful securement protects central venous catheters from several sources of failure until the end of therapy by preventing central venous catheter movement during all phases of care. Movement causes vein trauma, bacterial migration, distal tip location variation, loss of dressing integrity, and even total dislodgement. Any of these events can have serious consequences, including catheter-related bloodstream infection, thrombosis, delay of treatment, catheter replacement, and potential hemorrhage, all of which can be life-threatening events, and increase costs. We review patient issues, practice issues, and the types of securement currently used in clinical settings.


2001 ◽  
Vol 12 (4) ◽  
pp. 901-907 ◽  
Author(s):  
S. Wicky ◽  
J.-Y. Meuwly ◽  
F. Doenz ◽  
A. Uské ◽  
P. Schnyder ◽  
...  

2001 ◽  
Vol 87 (2) ◽  
pp. 306-308 ◽  
Author(s):  
R. Stephens ◽  
M. Mythen ◽  
P. Kallis ◽  
D.W.L. Davies ◽  
W. Egner ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Harihar V. Hegde ◽  
Vijay G. Yaliwal ◽  
Shyamsundar K. Joshi ◽  
P. Raghavendra Rao

A fractured central venous catheter (CVC) with embolization of the distal fragment may lead to life-threatening complications. We had inserted a right subclavian CVC in a 68-year-old female which upon a follow-up chest X-ray appeared to have been sheared. A guidewire was inserted through the CVC until the J-tip was just beyond the tip of the CVC which were then withdrawn as a single assembly. We suspected that the tip of the guidewire might have been entrapped in the opening of the middle port, which upon withdrawal of the guidewire could have led to CVC folding upon itself and shearing.


Sign in / Sign up

Export Citation Format

Share Document