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Published on: December 23, 2014
Pain in the ear resulting from misplaced subclavian dialysis catheter into ipsilateral internal jugular vein
Prakash K Dubey1, Hemant Kumar
1Department of Anesthesiology, Indira Gandhi Institute of Medical Sciences, Patna 800 013, India.
Anesthesia and Analgesia
|May 29, 2002
Insights
A misplaced subclavian dialysis catheter caused ear pain. Removing the catheter resolved the pain, highlighting the importance of correct placement during dialysis procedures.
Area of Science:
- Nephrology
- Vascular Access
- Medical Case Reports
Background:
- Subclavian dialysis catheters are common for hemodialysis access.
- Internal jugular vein access is an alternative, but misplacement can occur.
- Proper catheter placement is crucial for patient safety and treatment efficacy.
Observation:
- A patient experienced ear pain after subclavian dialysis catheter insertion.
- The catheter was inadvertently placed in the ipsilateral internal jugular vein.
- This anatomical misplacement was the suspected cause of the ear pain.
Findings:
- The ear pain was directly correlated with the incorrect catheter placement.
- Diagnostic imaging likely confirmed the catheter's position within the internal jugular vein.
- The case demonstrates a rare complication of dialysis catheterization.
Implications:
- Accurate placement of dialysis catheters is essential to prevent adverse events.
- Ear pain can be an unusual symptom of internal jugular vein catheter misplacement.
- Prompt catheter removal can effectively alleviate symptoms related to malposition.
Abstract
Implications:
This case describes pain in the ear resulting from inadvertent placement of a subclavian dialysis catheter into the ipsilateral internal jugular vein. The pain subsided when the catheter was withdrawn.
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