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A case of fractured internal jugular catheter

I I Ulasi1, C K Ijoma, C H Anyanwu

  • 1Renal Unit, Department of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria. ifeomaulasi@yahoo.co.uk

The Nigerian Postgraduate Medical Journal
|March 27, 2004
PubMed

Insights

A fractured internal jugular catheter, a rare complication, occurred in a 73-year-old man after nine months of use. This highlights the risks associated with prolonged intravascular catheter dwell times.

Area of Science:

  • Medical Case Reports
  • Vascular Access Devices
  • Patient Safety

Background:

  • Internal jugular catheters are common for long-term vascular access.
  • Prolonged use increases the risk of complications.
  • Adherence to manufacturer guidelines is crucial for safe practice.

Observation:

  • A 73-year-old male patient presented with a fractured internal jugular catheter.
  • The catheter had been in situ for nine months, exceeding recommended duration.
  • This represents a rare but potentially life-threatening complication.

Findings:

  • Catheter fracture is an uncommon but serious adverse event.
  • Extended indwelling times significantly elevate complication risks.
  • The case underscores the importance of timely catheter replacement.

Implications:

  • Clinicians must be vigilant for rare complications like catheter fracture.
  • Strict adherence to guidelines for intravascular catheter duration is essential.
  • Improved monitoring and timely replacement protocols can enhance patient safety.

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