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Fragmentation of central venous catheter - A rare but dreaded complication

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A 38‐year‐old lady with new‐onset diabetes mellitus and a history of recurrent oligo‐astrocytoma was scheduled for an awake craniotomy and excision of the residual lesion. After pre‐operative workup and adequate… Click to show full abstract

A 38‐year‐old lady with new‐onset diabetes mellitus and a history of recurrent oligo‐astrocytoma was scheduled for an awake craniotomy and excision of the residual lesion. After pre‐operative workup and adequate glycaemic control, she was taken up for the procedure. Inside the operation theatre, after standard pre‐induction monitors were attached, the left radial artery was cannulated and the right internal jugular vein was catheterised using a 7 French triple lumen CVC under ultrasound guidance and adequate local anaesthetic skin infiltration. After backflow of blood was confirmed in all three lumens, the catheter was secured to the skin with 3‐0 non‐absorbable monofilament nylon sutures. Throughout the surgery, the patient was haemodynamically stable with sinus rhythm.

Keywords: rare dreaded; catheter rare; venous catheter; fragmentation central; central venous; dreaded complication

Journal Title: Indian Journal of Anaesthesia
Year Published: 2022

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