title: [Thrombophlebitis in the central vein catheter (AVA3Xi) custody to the internal jugular vein: a case report].
abstract: The central vein catheter-related infection and thrombosis are comparatively frequent and may cause a serious complication. AVA3Xi was taken into custody to the internal jugular vein, and the patient suffured from thrombophlebitis on the seventh day after the operation. A 73-year-old woman 151 cm tall and weighing 50 kg was scheduled for pancreatoduodenectomy under propofol-remifentanil anesthesia combined with epidural anesthesia (operating time 9 hours and 21 minutes, anesthetizing time 12 hours and 1 minute). The past history of the thrombosis was not present, and it was especially unquestionable for the trap including the preoperative testing and the central venous catheter insertion. The time course after the operation was also good. But the patient claimed the stiffness of the cervix on the postoperative seventh day; fever and shivering were also accompanied. S. epidermidis was identified by the blood culture. Thrombophlebitis was diagnosed with CT. It is necessary to choose an appropriate catheter and endeavor for the prevention and early detection of the blood clot formation to prevent catheter-related infection and thrombosis with cooperation with the surgeon.
authors: Department of Anesthesiology, National Defense Medical College, Tokorozawa 359-8513.
authors: Toru
authors: T
authors: Morohashi
authors: Takahiro
authors: T
authors: Ogura
authors: Rie
authors: R
authors: Inamura
authors: Tomiei
authors: T
authors: Kazama
mesh_terms: D000368:Aged; D055499:Catheter-Related Infections; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007601:Jugular Veins; D013924:Thrombophlebitis / Q000209:etiology*