• Pan Afr Med J · Jan 2017

    Case Reports

    Misplaced subclavian central venous catheter.

    • Negussie Alula Bekele, Worknehe Agegnehu Abebe, and Jemal Zeberga Shifa.
    • University of Botswana, Department of Anaesthesia and Critical Care Medicine, Botswana.
    • Pan Afr Med J. 2017 Jan 1; 27: 59.

    AbstractPercutaneous Central Venous Catheter (CVC) insertion using internal jugular and Subclavian veins routes is common procedure for all intensive care admitted patients and some patients in the ward as demand arises in central and referral hospitals of Botswana. This is a case report of a patient on whom a third attempt of re-inserting a CVC for fluid and total parenteral nutrition (TPN) was made. X-ray showed that left Subclavian inserted catheter was mis-directed to internal jugular vein of the same side creating discomfort to the patient. Ultra sound is recommended for routine investigation to confirm proper Central venous catheter placement as it can reduce failure, minimize complication and reduce cost of treatment.

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