Unusual Complications of Ultrasound Guided Central Venous Cannulation

  • Sonu Sama
  • Sanjay Agarwal Professor and HOD, Department of Anaesthesiology, AIIMS Rishikesh
  • Vijay Adabala AIIMS,Rishikesh
  • Michael Leonard Anthony Department of pathology, All India Institute of Medical Sciences Rishikesh, Rishikesh, India.
Keywords: Central venous catheter, Ultrasound, Pleural effusion

Abstract

Central venous catheter (CVC) insertion is a common procedure in operation theaters and intensive care units (ICU). The procedure is performed through anatomical landmark technique, open surgical procedure, and ultrasound-assisted insertion. In the 1990s, ultrasound guidance of CVC insertion has been advocated as a means to reduce mechanical complications and placement failures compared with the landmark technique. Still CVC complications can be related to insertion, indwelling, or extraction. There is a need for continuous monitoring to avoid possible risk factors so as to minimize the morbidity and mortality.

References

1. Guilbert MC, Elkouri S, Bracco D, et al. Arterial trauma during central venous catheter insertion: Case series, review and proposed algorithm. J Vasc Surg. 2008; 48(4):918–925, discussion 925.
2. Kunizawa A, Fujioka M, Mink S, Keller E. Central venous catheterinduced delayed hydrothorax via progressive erosion of central venous wall. Minerva Anestesiol. 2010; 76(10):868–871.
3. Paw HG. Bilateral pleural effusions: Unexpected complication after left internal jugular venous catheterization for total parenteral nutrition. Br J Anaesth. 2002; 89:647-50.
4. Domino KB, Bowdle TA, Posner KL, Spitellie PH, Lee LA, Cheney FW. Injuries and liability related to central vascular catheters: a closed claims analysis. Anesthesiology. 2004; 100(6):1411-8.
5. Jeffrey AR, Ellis FJ, Repka MX, et al. Pediatric Horner syndrome. J Am Assoc Ped Ophthalmol. 1998; 2:159–67
6. Vinod KV, Sivabal V, Vidya MV. Iatrogenic Horner’s syndrome: A cause for diagnostic confusion in the emergency department. World J Emerg Med. 2017; 8(3):235.
7. Ibrahim M, Branson HM, Buncic JR, Shroff MM. A case of Horner syndrome with intermittent mydriasis in a patient with hypoplasia of the internal carotid artery. AJNR Am J Neuroradiol. 2006; 27(6):1318-20.
8. Butty Z, Gopwani J, Mehta S, Margolin E. Horner’s syndrome in patients admitted to the intensive care unit that have undergone central venous catheterization: A prospective study. Eye (Lond). 2016. 30(1): 31-3.
Published
2019-07-02
How to Cite
1.
Sama S, Agarwal S, Adabala V, Leonard Anthony M. Unusual Complications of Ultrasound Guided Central Venous Cannulation. Arch Anesth & Crit Care. 5(3):107-9.
Section
Case Report(s)