Journal of Emergency Practice and Trauma

A catheter malpositioned patient with pain and paresthesia

Document Type : Case Report

Authors

Akbar Fadaei Haghi 1
Rouya Shokri 1
Samad Shams Vahdati 1
Farid Eftekhar Milani 1
Shahrad Tajoddini 2

1 Road Traffic Injury Research Center, Emergency Department, Tabriz University of Medical Sciences, Tabriz, Iran

2 Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran

https://doi.org/10.15171/jept.2017.11
Abstract
We report a 54-year-old woman with the history of end-stage renal disease (ESRD) who was admitted to our hospital because of volume overload. Due to long-term use of peripheral veins and arteriovenous fistula (AVF) failure, central venous catheterization was the only choice for hemodialysis. She developed right upper extremiti’s pain and paresis during hemodialysis. A posteroanterior chest x-ray showed the catheter tip was accidently pushed from right internal jugular vein into right subclavian vein during hemodialysis by the dialysis center nurse. Therefore, we believe that the physician should be aware of any changes in the catheter size after insertion. And a chest x-ray should ensure the catheter’s correct position in any patient who develops complications.

Keywords

Central venous catheterization
Malposition
Subclavian vein
Subjects
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Journal of Emergency Practice and Trauma
Volume 3, Issue 1
January 2017
Pages 30-31

  • Receive Date 02 March 2014
  • Revise Date 14 January 2015
  • Accept Date 25 April 2015

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