Search

Summary

Key Learning Points

1. Ultrasound guidance is the gold standard of care for central line insertion.
2. The number of unsuccessful attempts at cannulation is directly proportional to the likelihood of subsequent complications.
3. Factors such as current clinical condition, body habitus, co-morbidities and intended duration of catheterisation should influence the choice of puncture site.
4. The length of guidewire and catheter used is determined by the side and site of insertion.
5. The puncture site should be regularly assessed for signs of infection – line-associated sepsis is a significant cause of morbidity in the critical care setting.

This paper describes two otherwise unrelated cases of fatal haemopericardium resulting directly from attempted cannulation of the right subclavian vein. Although this is an extremely rare complication, it is essential that all physicians involved in establishing central venous access are aware of the danger of causing this condition, and how the use of a careful technique of insertion can minimize the risk.

Search Results

Refine search

Refine search

Actions for selected content:

2 results

5.2.3 - Central Venous Catheterisation

Summary

Haemopericardium: a rare fatal complication of attempted subclavian vein cannulation. A report of two cases

Search Results

Refine search

Refine search

Actions for selected content:

Save Search

2 results

5.2.3 - Central Venous Catheterisation

Summary

Haemopericardium: a rare fatal complication of attempted subclavian vein cannulation. A report of two cases