Figure 2: CVP waveform after pulling central venous catheter abnormal large a-c wave complex (Figure 1 – marked with red arrow) and CVP value was in the range of 10-12 mm Hg. Such wave pattern may resemble a cannon “a” wave of CVP.[1,2] Transesophageal echocardiography was done which demonstrated lower end of central venous catheter getting abutted with tricuspid valve early in the systole. Thi...

Complications during insertion of a subclavian central venous line are rare but potentially serious. This case report describes the radiological abnormality of a one-sided pleural effusion during a routine control directly after a difficult central venous catheterization. We illustrate the findings, the initial emergency management, and our procedure to rule out an iatrogenic hemothorax. Possib...

Probiotics are commonly prescribed as an adjuvant in the treatment of antibiotic-associated diarrhea caused by Clostridium difficile. We report the case of an immunocompromised 73-year-old patient on chemotherapy who developed Saccharomyces cerevisiae var. boulardii fungemia in a central venous catheter during treatment of antibiotic-associated pseudomembranous colitis with the probiotic Saccha...

entral venous (CV) lines have been the subject of much professional debate and public exposure in the UK following an enquiry into the deaths of four children in Manchester as the result of cardiac tamponade. One of the recommendations of this review was that CV line tips should not be placed within the cardiac outline. 1 This has been the recommendation of CV line manufacturers for some time. ...