scholarly journals Contralateral pneumothorax after central line placement in COVID-19 positive patients

2021 ◽  
Author(s):  
Elizabeth Swezey ◽  
Scott Oster ◽  
Kathryn McGhee ◽  
Luke Edgecombe ◽  
Jody DiGiacomo ◽  
...  
Keyword(s):  
Venous Catheter ◽  
Central Line ◽  
Contralateral Side ◽  
Central Venous Catheters ◽  
Catheter Placement ◽  
Chest Roentgenogram ◽  
Central Venous ◽  
Causative Relationship ◽  
Pulmonary Pathology ◽  
Percutaneous Central Venous Catheter

Contralateral pneumothorax after percutaneous central venous catheter placement has not been previously reported. Three patients who required intubation and mechanical ventilation for acute respiratory failure due to COVID-19 were identified with a new pneumothorax on routine post-placement chest roentgenogram on the side opposite the catheter placement.  Retrospective review of charts, radiographs, and laboratory studies.  No causative relationship was identified between the percutaneous placement of the central venous catheters and the subsequent pneumothoraces identified on the contralateral side, other than the presence of active COVID-19 viral pneumonia. The timing of the contralateral pneumothoraces were coincidental the placement of the central venous catheters.  We believe these pneumothoraces were a consequence of the pulmonary pathology of the COVID-19 virus.

Central Line Placement

2019 ◽  
pp. 890-891
Author(s):  
Nicholas D. Will ◽  
W. Brian Beam
Keyword(s):  
Intensive Care Unit ◽  
Central Venous Catheter ◽  
Site Selection ◽  
Cardiac Pacing ◽  
Venous Catheter ◽  
Central Line ◽  
Catheter Placement ◽  
Central Venous ◽  
Central Venous Catheter Placement

Central venous catheter placement is one of the most commonly performed procedures in the intensive care unit. Common indications for central venous catheter placement include the need for vasoactive or caustic medication infusions, vascular access in patients with poor peripheral veins, long-term access for intravenous medications, infusion of parenteral nutrition, hemodynamic monitoring, transvenous cardiac pacing, and access for hemodialysis or plasmapheresis. There are no absolute contraindications to central venous catheter placement because it is a potentially lifesaving intervention, but careful planning and site selection are warranted in some cases, such as a patient with a known coagulopathy.

Managing Central Venous Catheter Dressings: A Short Gut Syndrome Case Study

2021 ◽  
Author(s):  
Melissa Langford ◽  
Maria Leal ◽  
Lindsey Patton
Keyword(s):  
Best Practice ◽  
Pediatric Patients ◽  
Venous Catheter ◽  
Blood Stream ◽  
Central Line ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Short Gut Syndrome ◽  
Multiple Risk Factors ◽  
Skin Conditions

Highlights Abstract Central venous catheters are necessary in treatment and care of pediatric patients with short gut syndrome. Despite necessity, central venous catheters come with the risk of developing central line associated blood stream infections (CLABSI). This manuscript describes a complex, pediatric gastroenterology patient with multiple risk factors who developed a CLABSI. Short gut syndrome patients can develop skin conditions and complications that may challenge nursing practice to mitigate CLABSI. Further research is needed on preventing CLABSIs in complex pediatric patients to provide the best practice implications for nursing.

Unnecessary Removal of Central Venous Catheters in Cancer Patients with Bloodstream Infections

2018 ◽  
Vol 39 (2) ◽  
pp. 222-225 ◽  
Author(s):  
Anne Marie Chaftari ◽  
Ray Hachem ◽  
Sammy Raad ◽  
Ying Jiang ◽  
Elizabeth Natividad ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Cancer Patients ◽  
Vascular Access ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Central Line ◽  
Central Venous Catheters ◽  
Infect Control Hosp ◽  
Physician Education ◽  
Central Venous

We evaluated the rate of central venous catheter (CVC) removal in 283 cancer patients with bloodstream infections (BSIs). Removal of CVCs occurred unnecessarily in 57% of patients with non-central-line-associated BSI (non-CLABSI), which was equivalent to the rate of CVC removal in patients with CLABSIs. Physician education and safe interventions to salvage the vascular access are warranted.Infect Control Hosp Epidemiol 2018;39:222–225

Embolization of a Percutaneous Central Venous Catheter

1994 ◽  
Vol 33 (2) ◽  
pp. 126-127 ◽  
Author(s):  
S.L. Watkin ◽  
T.J. Stephenson
Keyword(s):  
Central Venous Catheter ◽  
Distal Part ◽  
Venous Catheter ◽  
Central Venous Catheters ◽  
Venous System ◽  
Central Venous ◽  
Percutaneous Central Venous Catheter ◽  
Percutaneous Central Venous Catheters

Percutaneous central venous catheters are widely used in both pediatric and neonatal practice. Complications previously reported with these lines include sepsis, occlusion, limb swelling, catheter retention, and rupture on attempted removal. 1-4 We describe a case in which the catheter ruptured during routine use, with embolization of the distal part into the child's central venous system.

Central Venous Catheter Placement: Where Is the Tip?

2012 ◽  
Vol 21 (5) ◽  
pp. 370-371 ◽  
Author(s):  
George M. Ibrahim
Keyword(s):  
Computed Tomography ◽  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Catheter ◽  
Jugular Foramen ◽  
Jugular Bulb ◽  
Central Venous Catheters ◽  
Catheter Placement ◽  
Central Venous

The insertion of central venous catheters is a common bedside procedure performed in intensive care units. Here, we present a case of an 82-year-old man who underwent insertion of a central venous catheter in the internal jugular vein without perceived complications. Postprocedural radiographs showed rostral migration of the catheter, and computed tomography performed coincidentally showed cannulation of the jugular bulb at the level of the jugular foramen. To our knowledge, this is the first report to document migration of a central venous catheter from the internal jugular vein into the dural sinuses, as confirmed by computed tomography. The case highlights the importance of acquiring postprocedural radiographs for all insertions of central venous catheters to confirm catheter placement.

Cardiac Perforation from Central Venous Catheters: Survival After Cardiac Tamponade in an Infant

PEDIATRICS ◽  
1984 ◽  
Vol 73 (3) ◽  
pp. 333-338 ◽  
Author(s):  
Kishan C. Agarwal ◽  
M. A. Ali Khan ◽  
Anita Falla ◽  
Joseph J. Amato
Keyword(s):  
Central Venous Catheter ◽  
Cardiac Tamponade ◽  
Preventive Measures ◽  
Venous Catheter ◽  
Central Venous Catheters ◽  
Therapeutic Interventions ◽  
Chest Roentgenogram ◽  
Central Venous ◽  
Cardiac Perforation ◽  
Diagnostic Measures

A 2,210-g infant suffered cardiac tamponade, which resulted from atrial perforation by a central venous catheter. The infant survived due to timely diagnostic and therapeutic intervention. Cardiac tamponade should be suspected in any patient with a central venous catheter whose condition deteriorates suddenly. Immediate chest roentgenogram and echocardiogram may be performed to support the diagnosis; but when the patient's condition is deteriorating, a diagnostic (and therapeutic as well !) pericardiocentesis should be performed without waiting for other diagnostic measures. A review of clinical recognition and diagnostic measures for cardiac perforation and tamponade is presented. Preventive measures to avoid this fatal complication of central venous catheters are suggested, and therapeutic interventions are outlined.

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