tailieunhanh - báo cáo khoa học: "Right subclavian vein catheterism complication due to a ‘foreign body’: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Right subclavian vein catheterism complication due to a ‘foreign body’: a case report | Sidiropoulou et al. Journal of Medical Case Reports 2010 4 327 http content 4 1 327 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Right subclavian vein catheterism complication due to a foreign body a case report Zacharoula Sidiropoulou1 Pedro João2 Paula Vasconcelos2 Cristiana Couceiro2 Abstract Introduction Central venous access devices are widely used in hospital practice. Complications associated with their use are well described and reviewed. In this paper we report a former complication that in turn created a new complication during a standardized procedure. Case presentation We report the case of an 81-year-old Caucasian woman requiring total parenteral nutrition due to a high-debt enterocutaneous fistula. In a previous right subclavian catheterization a fragmentation of the tip of the catheter probably not recognized at the time provoked an extrinsic compression of the vessel. Conclusion Fragmentation of a central venous catheter is a possible complication of catheterization and can be missed. Control of a catheter is imperative after its removal even if not always practiced. Introduction Central venous access devices are widely used for the administration of antibiotics and chemotherapeutic drugs total parenteral nutrition providing high-flow access for hemodialysis and plasmapheresis and central venous pressure monitoring. In many cases the same patient will undergo this procedure on more than one occasion leading to an increase in the possibility of complications. Central venous catheterization has multiple advantages for example the reduction of irritation and thrombosis of smaller peripheral veins the avoidance of peripheral phlebitis and scarring and a much better patient tolerance. The immediate complications are insertion site bleeding pneumothorax and hemothorax arterial puncture displacement of the catheter and fragmentation of the catheter 1 2 . Late complications can be catheter infection surgical .