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Korean J Crit Care Med > Volume 27(1); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(1): 49-51. doi: https://doi.org/10.4266/kjccm.2012.27.1.49
Central Venous Catheter Misplaced in the Innominate Vein after Penetrating the Left Subclavian Vein in a Neonate: A Case Report
Sang Wook Shin, Ji Uk Yoon, Hyeon Jeong Lee, O Sun Kwon, Hyun Mok Kim
Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. nuncoip@hanmail.net
ABSTRACT
In the pediatric ICU and operating room, a central venous catheter (CVC) provides accurate hemodynamic information and serves as a reliable route for the administration of vasoactive drugs, fluids and allogeneic blood products. The placement of CVC is associated with a complication rate of 0.4% to 20%, including hemothorax, pneumothorax, thrombosis, infection and cardiac tamponade. We describe a case of CVC being misplaced in the innominate vein after penetrating the subclavian vein during anesthesia induction for arterial switch operation. Our report discusses the mechanisms by which this mishap took place, and reviews the proper positions of the head, arm, thorax and safe depth of venipuncture for the placement of a CVC in neonates.
Key Words: central venous catheter; misplace; neonate
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