Extravasation of TPN following central venous catheter migration

SungMin Hong; Sung Hyun Kim; Hyun-Kyung Lee; Young-Min Lee; Mi-Yeong Kim; Hongyeul Lee; Ho-Young Lee

doi:10.1016/j.rmcr.2022.101623

Extravasation of TPN following central venous catheter migration

Respir Med Case Rep. 2022 Feb 28:37:101623. doi: 10.1016/j.rmcr.2022.101623. eCollection 2022.

Authors

SungMin Hong¹, Sung Hyun Kim¹, Hyun-Kyung Lee¹, Young-Min Lee¹, Mi-Yeong Kim¹, Hongyeul Lee¹, Ho-Young Lee¹

Affiliation

¹ Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea.

Abstract

Central venous catheterization is a preferred method for intensive care patients who require total parenteral nutrition (TPN). TPN can cause tissue damage due to osmotic effects and the presence of ions. We report a case of TPN extravasation into the pleural cavity due to a shift in position of a subclavian central vein catheter. In this report, we discuss the importance of serial follow up of chest X-ray examination in patients with central vein catheterization.

Keywords: Central venous catheterization; Chylothorax; Migration; Total parenteral nutrition.

Publication types

Case Reports