Anesth Pain Med.  2011 Apr;6(2):182-185.

Intravascular kinking of catheter during central venous catheterization in a premature infant: A case report

• Moon HS
• Lee SK
• Choi YS
• Kim MH

Abstract

Central venous catheterization is of vital importance in the management of critically ill neonates and also premature infants for total parenteral nutrition, hemodynamic monitoring, anesthetic care, transfusion or the administration of a few vasoactive drugs. Various complications of this procedure have been reported, such as arterial puncture, pneumothorax, cardiac tamponade, and catheter related kinking or knotting. Due to narrow safety margins, these complications are more dangerous in extremely premature infants compared to adults. We present a case of left subclavian venous catheterization complicated by U-shaped intravascular catheter kinking in premature infant which was successfully repositioned by insertion of a new guidewire through the previous catheter without secondary skin puncture.

Keyword

Central venous catheterization; Complications; Premature infant

MeSH Terms

Adult
Cardiac Tamponade
Catheterization
Catheterization, Central Venous
Catheters
Central Venous Catheters
Critical Illness
Hemodynamics
Humans
Infant, Extremely Premature
Infant, Newborn
Infant, Premature
Parenteral Nutrition, Total
Pneumothorax
Punctures
Skin