Aberrant position of a central venous catheter
- 1 September 1978
- journal article
- case report
- Published by Wolters Kluwer Health in Critical Care Medicine
- Vol. 6 (5) , 337-338
- https://doi.org/10.1097/00003246-197809000-00009
Abstract
An unusual placement of a "central" venous catheter in the porto-hemiazygous system of a cirrhotic patient in septic shock is described. The catheter was misinterpreted as being located in a central vein and served initially as a guide for volume replacement. The high central venous pressure recorded (22 cm H2O) in spite of signs of hypovolemia led to the introduction of a Swan-Ganz catheter which confirmed the presence of hypovolemia. The proper position of the central venous catheter, especially in cirrhotic patients, should not only be confirmed by plain chest x-ray but also by injection of contrast medium.Keywords
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