| Pressure-created communication between lumens of a multilumen venous catheter. | |
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MedLine Citation:
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PMID: 20216174 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe the inadvertent creation of a connection between lumens of a multilumen catheter by use of an in-line intravenous hand pressure pump. DESIGN: Case report. SETTING: Operating theater. PATIENT: All lumens of a 4F triple lumen catheter were verified patent by irrigation with saline before insertion into an internal jugular vein of an 18-mo-old child undergoing cardiac surgery. During surgery, the flushing of saline into one lumen of the catheter by means of an in-line hand pressure pump caused registration of >300 mm Hg pressure recorded from another lumen. The connections to these two lumens were then reversed. Repeated flushing also caused registration of pressure >300 mm Hg. On removal of the catheter at the end of surgery, flushing of one lumen caused fluid to emerge from the wrong exit hole as the appropriate exit hole was blocked with blood clot. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Pressure measurement in intravenous catheter lumens. Greater than 300 mm Hg was recorded during flushing with an inline hand pressure pump. CONCLUSIONS: High pressure created by use of an in-line intravenous hand pressure pump may cause creation of a communication between lumens of multilumen catheters. |
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Authors:
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Philip G Ragg; James Tibballs |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies Volume: 11 ISSN: 1529-7535 ISO Abbreviation: Pediatr Crit Care Med Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-10 Completed Date: 2010-06-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100954653 Medline TA: Pediatr Crit Care Med Country: United States |
Other Details:
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Languages: eng Pagination: e26-7 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Intensive Care Unit, Royal Children's Hospital, Melbourne, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Air Pressure* Catheterization, Central Venous / instrumentation* Decontamination / methods Equipment Contamination / prevention & control Equipment Failure* Humans Infant Thoracic Surgical Procedures |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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