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Paediatric anaesthesia · Jan 2024
Case ReportsA neonate with aseptic cutaneous necrosis related to the migration of the proximal central venous catheter infusion port.
- Gokul Thimmarayan, Michael Schmitz, Jorge Guerrero, Xiomara Garcia, Sairi Zhang, and Destiny Chau.
- Pediatric Cardiac Anesthesia, Arkansas Childrens Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
- Paediatr Anaesth. 2024 Jan 1; 34 (1): 868886-88.
AbstractWe report a case of aseptic cutaneous necrosis from extravasation of calcium chloride at the proximal port of a central venous catheter (CVC). A right internal jugular CVC was placed with ultrasound guidance using contemporary guidelines for size and insertion site. Catheter migration occurred concurrent with development of postoperative anasarca. Four days later, leakage of infusate with skin necrosis was noted at the insertion site. Despite initial proper positioning, catheter ports can migrate out of intravascular structures due to postprocedural subcutaneous edema. Intravascular confirmation should be performed regularly for infants with localized or generalized edema.© 2023 John Wiley & Sons Ltd.
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