Κατεύθυνση Επεμβατική Ακτινολογία
Library of the School of Health Sciences

2021-08-19

2021

Noutsos Georgios

Σταύρος Σπηλιόπουλος Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δημήτριος Φιλιππιάδης Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ευθυμία Αλεξοπούλου Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ

Λανθασμένη τοποθέτηση κεντρικών φλεβικών καθετήρων μακράς διάρκειας παραμονής (τύπου Hickman) στα παιδιά. Συχνότητα και πιθανές εντoπίσεις

Greek

Malposition of Central Venous Catheters Hickman type in children. Frequency and possible position of the catheters tip

Central Venous Catheters (CVCs) insertion is a very common procedure performed at the operation room and the Intensive Care Unit. In the paediatric population they are frequently used to administer fluids, blood products, resuscitation drugs, parenteral nutrition and chemotherapy. One of the reported complications, though a less commonly described one, is malpositioning of the tip of the CVC in a vessel other than the superior vena cava (SVC).
In this study, we initially present the anatomy of the SVC system and that of the internal jugular vein, the optimal catheter tip position as well as the possible malpositioned catheter tip locations. Subsequently, paediatric chest X-rays of our hospital with catheter tip malpositioning are illustrated, after internal jugular vein catheterization.
Following, we discuss possible mechanisms of CVC malpositioning, signs and symptoms which could help us identify a wrong placement and also how to prevent as well as how to fix one. Finally, an interrelation between malpositioning, malfunction and the existence of infection or thrombosis is investigated.

Health Sciences

Internal jugular vein, Central venous catheter, Malposition

No

0

Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/2957385