Related Experiment Video
Updated: Aug 9, 2026
07:47
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
Intermittent back pain after central venous catheter placement
U W Rosa1, M Foreman, S Willsie-Ediger
1Division of Pulmonary Medicine, Mount Sinai School of Medicine, Elmhurst City Hospital Center, New York.
JPEN. Journal of Parenteral and Enteral Nutrition
|January 1, 1993
Summary
A misplaced central venous catheter in the azygos vein caused back pain during total parenteral nutrition. Removing the catheter resolved the patient's symptoms, highlighting the importance of correct placement.
Area of Science:
- Vascular Surgery
- Radiology
- Internal Medicine
Background:
- Central venous catheterization is a common procedure for administering medications and nutrition.
- Proper catheter placement is crucial to avoid complications.
- Azygos vein malposition is a rare but significant complication.
Observation:
- A patient receiving total parenteral nutrition developed unexplained back pain.
- Diagnostic imaging revealed inadvertent placement of the central venous catheter into the azygos vein.
- The malposition was initially unrecognized, leading to further investigations.
Findings:
- The azygos placement of the central venous catheter was the source of the patient's symptoms.
- Symptomatic resolution occurred promptly after catheter removal.
- This case underscores the diagnostic challenges posed by catheter malposition.
Implications:
- Accurate central venous catheter placement is essential for patient safety.
- Awareness of rare complications like azygos placement is important for clinicians.
- Prompt recognition and management of catheter malposition can prevent unnecessary diagnostic procedures and improve patient outcomes.
More Related Videos
Related Concept Videos
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:28Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
01:26Cardiac Catheterization IV: Nursing Management
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
01:29Endocarditis IV: Nursing Management
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...