title: Repositioning of Misplaced Central Venous Catheter with Saline Injection Under C-Arm Imaging.
abstract: Malposition of central venous catheter is a well known technical complication. Misplaced catheter often requires reinsertion for proper placement of the catheter in the superior vena cava (SVC) to support safe delivery of care and minimize complications. But reinsertion exposes the patient once again to risks of complications related to the procedure including potential of misplacement. Literature describes only a few techniques for repositioning a misplaced central venous catheter (CVC). We tried old simple method of saline injection with force under image intensifier using hydrostatic force of intravenous fluid to straighten the CVC. We could successfully reposition two misplaced CVC's using this method.
authors.affiliation: Professor and Head, Department of Critical Care Medicine, DMC & H , Ludhiana, Punjab, India .
authors.forename: Parshotam Lal
authors.initials: PL
authors.lastname: Gautam
authors.affiliation: Associate Professor, Department of Anaesthesia, DMC & H , Ludhiana, Punjab, India .
authors.forename: Sandeep
authors.initials: S
authors.lastname: Kundra
authors.affiliation: Post Graduate Resident, Department of Anaesthesia, DMC & H , Ludhiana, Punjab, India .
authors.forename: Krishan
authors.initials: K
authors.lastname: Jain
authors.affiliation: Post Graduate Resident, Department of Anaesthesia, DMC & H , Ludhiana, Punjab, India .
authors.forename: Hitika
authors.initials: H
authors.lastname: Monga
keywords: Central venous catheter; Malposition; Misplacement
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