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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
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Massive air embolism while removing a central venous catheter.
Gil Myeong Seong1, Jaechun Lee1, Misun Kim1
1Department of Internal Medicine, School of Medicine, Jeju National University Hospital, Jeju National University, Jeju, Korea.
International Journal of Critical Illness and Injury Science
|September 6, 2018
Summary
Paradoxical systemic air embolism can occur during central venous catheter removal. Prompt resuscitation and extracorporeal membrane oxygenation saved a patient with multiple organ damage, highlighting the need for careful CVC removal techniques.
Area of Science:
- Cardiology
- Vascular Surgery
- Critical Care Medicine
Background:
- Air embolism is a rare iatrogenic complication during medical procedures.
- Central venous catheter (CVC) removal carries a risk of venous air embolism, potentially leading to arterial embolism.
Observation:
- A 61-year-old male developed paradoxical systemic air embolism during CVC removal.
- Echocardiography revealed multiple air bubbles and an atrial septal defect.
Findings:
- The patient experienced multiple end-organ damage affecting the kidney, liver, and brain.
- Immediate resuscitation and venovenous extracorporeal membrane oxygenation (ECMO) were critical for survival.
Implications:
- This case underscores the importance of meticulous technique during CVC removal to prevent air embolism.
- Identifying and rectifying procedural errors are crucial for patient safety and preventing serious outcomes.
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