J Korean Soc Traumatol.  2015 Dec;28(4):292-294. 10.0000/jti.2015.28.4.292.

Inadvertent Arterial Catheterization of Central Venous Catheter: A Case Report

• Oh SY

• KMID: 2224043
• DOI: http://doi.org/10.0000/jti.2015.28.4.292

Abstract

Central venous catheterization is one of the most important procedures for initial resuscitation of hemodynamically unstable patients including multiple trauma patients. Inadvertent arterial placement of the large caliber central venous catheter can results in resuscitation failure as well as unnecessary invasive treatment. Here, we report an arterial puncture during central venous catheterization which may lead to inadvertent arterial catheterization. We recommend that arterial catheterization should be evaluated before dilator insertion during Seldinger's method. Ultrasound can help in preventing the inadvertent arterial catheterization of central venous catheter.

Keyword

Central venous catheter; Arterial puncture; Arterial catheterization; Ultrasound

MeSH Terms

Catheterization*
Catheterization, Central Venous
Catheters*
Central Venous Catheters*
Humans
Multiple Trauma
Punctures
Resuscitation
Ultrasonography