An Interesting Misplacement of Central Venous Catheter in an Infant: (Case Report)

Abstract

Central venous catheterization may be required in pediatric patients both for surgical and medical purposes. In addition, these catheters are also used for short or long term nutritional therapy. A 1.5 year-old male infant was admitted to the Anesthesiology Intensive Care Unit because of status epilepticus. A central venous catheter was placed in the right subclavian vein for fluid replacement and parenteral nutrition. On the x-ray taken to confirm the placement of the catheter, it was detected that the tip of the catheter had been misplaced in the left internal jugular vein, so the catheter was pulled back and replaced with a new one through the J-guide. This case draws attention to the need for confirmation of the location of the central venous catheter using radiography, especially in infants.