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Persistent hiccup caused by peripherally inserted central catheter migration.
Yeling Zhang1, Haiping Jiang, Lili Wei
1Department of Oncology, The Affiliated Hospital of Medical College, Qingdao University, Jiangsu Road 16, Qingdao 266003, China.
Journal of Anesthesia
|June 29, 2011
Summary
A peripherally inserted central catheter (PICC) migrated and folded in a vein, causing persistent hiccups. This case highlights potential complications of PICC malposition in vascular access.
Area of Science:
- Vascular Surgery
- Medical Device Complications
- Patient Monitoring
Background:
- Peripherally inserted central catheters (PICCs) are crucial for long-term intravenous therapy.
- PICC malposition can occur due to device flexibility and physiological changes.
Observation:
- A patient experienced persistent hiccups.
- The patient had a peripherally inserted central catheter in place.
Findings:
- The PICC migrated from its intended position.
- The migrated PICC was found to be bent and folded within the right subclavian vein.
Implications:
- This case underscores the risk of PICC intravascular migration and malposition.
- Persistent hiccups may indicate a malpositioned PICC.
- Awareness of such complications is vital for clinicians managing patients with PICCs.
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