Document Detail

Central venous catheter placement: where is the tip?
MedLine Citation:
PMID:  22941712     Owner:  NLM     Status:  In-Data-Review    
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.
George M Ibrahim
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of critical care : an official publication, American Association of Critical-Care Nurses     Volume:  21     ISSN:  1937-710X     ISO Abbreviation:  Am. J. Crit. Care     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9211547     Medline TA:  Am J Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  370-1     Citation Subset:  IM; N    
George M. Ibrahim is a neurosurgery resident in the Division of Neurosurgery, University of Toronto, Ontario, Canada.
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