Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 26 , ISSUE 3 ( March, 2022 ) > List of Articles


A Rare Complication of Central Venous Catheterization Interventions: Subdural Effusion

Merve Misirlioglu, Ozden Ozgur Horoz, Dincer Yildizdas, Faruk Ekinci, Ahmet Yontem, Umur Anil Pehlivan

Keywords : Central venous catheter, Children, Complication, Subdural effusion

Citation Information : Misirlioglu M, Horoz OO, Yildizdas D, Ekinci F, Yontem A, Pehlivan UA. A Rare Complication of Central Venous Catheterization Interventions: Subdural Effusion. Indian J Crit Care Med 2022; 26 (3):384-386.

DOI: 10.5005/jp-journals-10071-24132

License: CC BY-NC 4.0

Published Online: 30-03-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Central venous catheterization interventions are used in various clinics for diagnostic and treatment purposes. Establishing vascular access is a difficult and critical step, especially in critically ill pediatric patients. Complications include ventricular arrhythmia, air embolism, carotid artery puncture, cardiac tamponade, pneumothorax, hemothorax, artery-vein laceration, thoracic duct injury, and catheter malposition can be observed in patients after central venous catheterization interventions. In this case report, a pediatric case was discussed, in which a central venous catheter was inserted without the usage of imaging methods and without confirming the location and was used, even though no blood return was obtained. It was aimed to draw attention to subdural effusions and spinal canal interventions, which is a rare complication of central venous catheterization interventions.

  1. Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: internal juguler versus subclavian access–a systematic review. Crit Care Med 2002;30(2):454–460. DOI: 10.1097/00003246-200202000-00031.
  2. Bagwell CE, Salzberg AM, Sonnino RE, Haynes JH. Potentially lethal complications of central venous catheter placement. J Pediatr Surg 2000;35(5):709–713. DOI: 10.1053/jpsu.2000.6029.
  3. Dogan N, Becit N, Kizilkaya M, Unlu Y. A rare complication due to central venous cannulatıon. Turkish J Thorac Cardiovasc Surg 2004;12:135–137.
  4. Eisen LA, Narasimhan M, Berger JS, Mayo PH, Rosen MJ, Schneider RF. Mechanical complications of central venous catheters. J Intensive Care Med 2006;21(1):40–46. DOI: 10.1177/0885066605280884.
  5. Alemohammad M. Central venous catheter insertion problem solving using intravenous catheter: technical communication. Tehran Univ Med J 2013;70(11):724–728.
  6. Skinner TA, Mather SJ. Inadvertent extradural insertion of an internal jugular catheter in an infant. Br J Anaesth 1995;75(6):790–793. DOI: 10.1093/bja/75.6.790.
  7. Fujita Y, Sobue K, Hattori T, Takeuchi A, Tsuda T, Katsuya H. Inadvertent intrathecal cannulation in an infant, demonstrated by three-dimensional computed tomography: a rare complication of internal jugular vein catheterization. J Anesth 2006;20:122–125. DOI: 10.1007/s00540-005-0383-4.
  8. Gemma M, Tommasino C, Cipriani A, Calvi MR, Gerevini S. Cannulation of the cervical epidural venous plexus: a rare complication of retrograde internal jugular vein catheterization. Anesthesiology 1999;90(1):308–311. DOI: 10.1097/00000542-199901000-00039.
  9. Schummer W, Schummer C, Fröber R. Internal jugular vein and anatomic relationship at the root of the neck. Anesth Analg 2003;96:1540–1541. DOI: 10.1213/01.ane.0000072448.11064.d8.
  10. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med 2003;348(12):1123–1133. DOI: 10.1056/nejmra011883.
  11. Tolunay O, Okuyan MK, Celik T, Mert KM, Gulek B, Celik U. Use of ultrasound for central venous catheterization in pediatric intensive care unit; a single center experience. J Pediatr Emerg Intensive Care Med 2015;2(3):127–132. DOI: 10.5505/cayb.2015.68077.
  12. Randolph AG, Cook DJ, Gonzales CA, Pribble CG. Ultrasound guidance for placement of central venous catheters: a metaanalysis of the literature. Crit Care Med 1996;24(12):2053–2058. DOI: 10.1097/00003246-199612000-00020.
  13. American Society of Anesthesiologists Task Force on Central Venous Access, Rupp SM, Apfelbaum JL, Blitt C, Caplan RA, Connis RT, Domino KB, et al. Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access. Anesthesiology 2012;116(3):539–573. DOI: 10.1097/ALN.0b013e31823c9569.
  14. Stone MB, Nagdev A, Murphy MC, Sisson CA. Ultrasound detection of guide wire position during central venous catheterization. Am J Emerg Med 2010;28(1):82–84. DOI: 10.1016/j.ajem.2008.09.019.
  15. Resnick JR, Cydulka RK, Donato J, Jones RA, Werner SL. Success of ultrasound-guided peripheral intravenous access with skin marking. Acad Emerg Med 2008;15(8):783–793. DOI: 10.1111/j.1553-2712.2008.00174.x.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.