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Journal of Parenteral and Enteral Nutrition
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Perforation by Central Venous Catheters: A New Testament to an Old Test

David J. Malenka, M.D.

Departments of Medicine, Community and Family Medicine, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire and the White River Junction Veterans Administration Medical Center, White River Junction, Vermont

Jonathan M. Ross, M.D.

Departments of Medicine, Community and Family Medicine, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire and the White River Junction Veterans Administration Medical Center, White River Junction, Vermont

Perforation by central venous catheters into the extravascular space is a rare complication of central venous lines that may explain new onset shortness of breath in hospitalized patients. We found that lowering bottles containing infusate and looking for return of venous blood is a highly specific test for this problem. Using Bayes' Theorem we calculated that for prior probabilities of catheter perforation of 0.01 and 0.05, corresponding posterior probabilities ranged from 0.1 to 0.15 and 0.35 to 0.49 respectively. This test should be used in all patients with new shortness of breath who have central venous catheters. (Journal of Parenteral and Enteral Nutrition 13:309-311, 1989)

Journal of Parenteral and Enteral Nutrition, Vol. 13, No. 3, 309-311 (1989)
DOI: 10.1177/0148607189013003309
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This article has been cited by other articles:


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 JPEN J Parenter Enteral NutrHome page
L. Mukau, M. A. Talamini, and J. V. Sitzmann
Risk Factors for Central Venous Catheter-Related Vascular Erosions
JPEN J Parenter Enteral Nutr, September 1, 1991; 15(5): 513 - 516.
[Abstract] [PDF]

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 JPEN J Parenter Enteral NutrHome page
J. C. Digiacomo and H. S. Tarlian
Spontaneous Migration of Long-Term Indwelling Venous Catheters
JPEN J Parenter Enteral Nutr, September 1, 1991; 15(5): 574 - 577.
[Abstract] [PDF]