scholarly journals Unusual complications of the central venous catheterization in trauma patients

2021 ◽  
Vol 6 (1) ◽  
pp. 32-35
Author(s):  
Yoonjung Heo ◽  
Dong Hun Kim
Keyword(s):  
Subclavian Artery ◽  
Central Venous Catheterization ◽  
Air Embolism ◽  
Central Venous Catheters ◽  
Trauma Patients ◽  
Central Venous ◽  
Cerebral Air Embolism ◽  
Venous Catheterization

Central venous catheters (CVCs) are commonly used in patients with trauma. The placement and removal of the CVCs can result in various complications regardless of the skill of the professionals. Herein, two cases of rare complications are presented— an inadvertent subclavian artery catheterization and a cerebral air embolism after a CVC removal. Moreover, practical solutions for each complication are provided in detail.

Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization

2000 ◽  
Vol 28 (5) ◽  
pp. 1621-1625 ◽  
Author(s):  
Josef G. Heckmann ◽  
Christoph J. G. Lang ◽  
Klaus Kindler ◽  
Walter Huk ◽  
Frank J. Erbguth ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Air Embolism ◽  
Neurologic Manifestations ◽  
Central Venous ◽  
Cerebral Air Embolism ◽  
Venous Catheterization

Cerebral air embolism after central venous catheterization

2001 ◽  
Vol 19 (6) ◽  
pp. 520-521 ◽  
Author(s):  
Joji Inamasu ◽  
Yoshiki Nakamura ◽  
Ryoichi Saito ◽  
Kiyoshi Ichikizaki ◽  
Kim Shiei
Keyword(s):  
Central Venous Catheterization ◽  
Air Embolism ◽  
Central Venous ◽  
Cerebral Air Embolism ◽  
Venous Catheterization

Ten Years of Mechanical Complications of Central Venous Catheterization in Trauma Patients

2012 ◽  
Vol 78 (5) ◽  
pp. 545-549 ◽  
Author(s):  
Crystal Ives ◽  
Donald Moe ◽  
Kenji Inaba ◽  
Bernardino Castelo Branco ◽  
Lydia Lam ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Injury Severity ◽  
Central Venous Catheterization ◽  
Unit Length ◽  
P Value ◽  
Trauma Patients ◽  
Central Venous ◽  
Mechanical Complications ◽  
Venous Catheterization

The study purpose was to determine the incidence of mechanical complications (MC) associated with central venous catheterization (CVC) and to evaluate their impact on outcomes. This was a retrospective review of trauma morbidity and mortality records at a Level I trauma center (1999 to 2009). Demographics and outcomes were extracted for all trauma patients with CVC. Patients developing MC were compared with those who did not. Four thousand eight hundred eighteen lines were placed in 2935 patients. Of these, 1.5 per cent (n = 73) had MC. A total of 64.4 per cent (n = 47) were pneumothoraces followed by arterial cannulation at 8.2 per cent (n = 6) and thrombosis at 6.8 per cent (n = 5). The rate of MC by access site was: subclavian 1.8 per cent (n = 52), internal jugular 1.2 per cent (n = 10), and femoral 0.3 per cent (n = 3) (P value for trend = 0.001). Change in management was required in 31.5 per cent (n = 23). Number of lines ( P < 0.001), Injury Severity Score ( P < 0.001), body mass index less than 20 kg/m2 ( P = 0.036), and chest Abbreviated Injury Score greater than3 ( P = 0.034) were significant predictors of MC. Patients with MC had a longer intensive care unit length of stay (18.8 ± 25.7 vs 11.4 ± 13.3; adjusted odds ratio, 5.75; 95% confidence interval, 2.24–9.25; P = 0.001). Incidence of MC was 1.5 per cent. Complications were clinically significant in 31.5 per cent and resulted in longer intensive care unit stays.

Iatrogenic venous air embolism from central venous catheterization after blunt liver trauma

Surgery ◽  
2017 ◽  
Vol 162 (5) ◽  
pp. 1179-1180
Author(s):  
Tarek Debs ◽  
Niccolo Petrucciani ◽  
Eric Sejor ◽  
Imed Ben Amor ◽  
Jean Gugenheim
Keyword(s):  
Central Venous Catheterization ◽  
Air Embolism ◽  
Liver Trauma ◽  
Central Venous ◽  
Venous Air Embolism ◽  
Venous Catheterization ◽  
Blunt Liver Trauma

scholarly journals Estratégias de prevenção da obstrução em cateteres centrais totalmente implantados em pacientes oncológicos

2020 ◽  
Vol 19 (4) ◽  
pp. 483-524
Author(s):  
Ilanna Moreira Caponi ◽  
Patrícia Quintans Cudines Pacheco ◽  
Leila Rangel Da Silva ◽  
Sônia Regina De Souza
Keyword(s):  
Literature Review ◽  
Cancer Patients ◽  
Saline Solution ◽  
Central Venous Catheterization ◽  
Central Venous Catheters ◽  
Time Interval ◽  
Central Venous ◽  
Venous Catheterization ◽  
Catheter Obstruction

Objetivo: Analizar las producciones científicas que abordan las estrategias de prevención y atención en la obstrucción de los catéteres venosos centrales totalmente implantados en pacientes con cáncer.Material y método: Esta es una revisión bibliográfica integradora, que se realizó en las bases de datos MEDLINE, LILACS, CINAHL y EMBASE, del 20 de julio de 2019 al 31 de julio de 2019, utilizando los siguientes descriptores: Cateterización venosa central; Obstrucción del catéter y oncología, más el uso de términos libres: catéter completamente implantado y neoplasia.Resultados: En total, se seleccionaron e incluyeron 10 estudios. Después del análisis, surgieron las siguientes categorías de análisis: Estrategias para prevenir la obstrucción en CVC-TI y Atención establecidas en el despacho de CVC-TI; teniendo como principales temas abordados: la comparación entre la eficacia en el uso de heparina y solución salina para el mantenimiento y el intervalo de tiempo entre ellos; métodos de despacho y evaluación de permeabilidad CVC-IT.Conclusión: A pesar de la aparición de nuevas formas posibles de prevención de obstrucciones y estrategias de atención en la eliminación de CVC-IT, la literatura no presenta consenso sobre el uso de soluciones con o sin heparina y el intervalo de tiempo entre el mantenimiento para la efectividad de permeabilidad de estos dispositivos en pacientes con cáncer. Objective: To analyze scientific productions that address prevention and care strategies in the obstruction of central venous catheters that are fully implanted in cancer patients.Material and Method: This is an integrative literature review, which took place on the MEDLINE, LILACS, CINAHL and EMBASE databases, from 20 July 2019 to 31 July 2019, using as descriptors: Central venous catheterization; Catheter obstruction and Oncology, in addition to the use of free terms: Catheter fully implanted and Neoplasia.Results: In total, 10 studies were selected and included. After the analysis, the following analysis categories emerged: Strategies for preventing obstruction in CVC-TI and Care established in clearing the CVC-TI; having as main subjects approached: the comparison between the effectiveness in the use of heparin and saline solution for maintenance and time interval between them; unblocking methods and permeability assessment of CVC-TI.Conclusion: Despite the emergence of new possible ways of preventing obstruction and care strategies for clearing CVC-TI, the literature does not have a consensus on the use of solutions with or without heparin and the time interval between maintenance for the effectiveness of the permeability of these devices in cancer patients. Objetivo: Analisar produções científicas que abordem a prevenção e estratégias de cuidado na obstrução de cateteres venosos centrais totalmente implantados em pacientes oncológicos.Material e Método: Trata-se de uma revisão integrativa da literatura, que ocorreu nas bases de dados MEDLINE, LILACS, CINAHL e EMBASE, no período 20 de Julho de 2019 a 31 de Julho de 2019, utilizando-se como descritores: Cateterismo venoso central; Obstrução de cateter e Oncologia, além do uso dos termos livres: Cateter totalmente implantado e Neoplasia.Resultados: Ao total, 10 estudos foram selecionados e incluídos. Após a análise, emergiram as seguintes categorias de análise: Estratégias de prevenção da obstrução em CVC-TI e Cuidados estabelecidos na desobstrução do CVC-TI; tendo então como principais assuntos abordados: a comparação entre a eficácia no uso da heparina e solução salina para manutenções e tempo de intervalo entre as mesmas; métodos de desobstrução e avaliação de permeabilidade dos CVC-TI.Conclusão: Apesar do surgimento de novas formas possíveis de prevenção de obstrução e estratégias de cuidado na desobstrução dos CVC-TI, a literatura não apresenta consenso sobre o uso de soluções com ou sem heparina e o tempo de intervalo entre as manutenções para a efetividade da permeabilidade desses dispositivos em pacientes oncológicos.

scholarly journals Delayed Presentation of Catheter-related Subclavian Artery Pseudoaneurysm

2015 ◽  
Vol 53 (198) ◽  
pp. 130-133 ◽  
Author(s):  
Kim M ◽  
ES Kang ◽  
HW Kim ◽  
Y Kim ◽  
MH Kang ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Central Venous Catheterization ◽  
Stent Insertion ◽  
Medical Procedure ◽  
Delayed Presentation ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Puncture Site ◽  
Artery Pseudoaneurysm ◽  
Venous Catheterization

Central venous catheterization is a common diagnostic and therapeutic procedure in modern clinical practice. Pseudoaneurysms of the subclavian artery are rare and usually occur immediately after the causative event, whether the cause was trauma or a medical procedure. Here, we report a case of a 71-year-old woman with delayed presentation of catheter-related subclavian pseudoaneurysm. The patient’s symptoms began two weeks after the initial catheterization, probably because of slow leakage of blood from the injured subclavian artery caused by incomplete compression of the puncture site and uremic coagulopathy. She was successfully treated with ultrasound-guided thrombin and angiography-guided histoacryl injection without stent insertion or surgery. Keywords: butyl 2-cyanacrylate; pseudoaneurysm; subclavian; thrombin.

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