Neurologic Complications Resulting From Malpositioned or Malfunctioning Central Venous Catheters

Vascular access devices, particularly the central venous catheter, experience widespread use in the neonatal intensive care unit and facilitate care for critically and chronically ill neonates. The low profile for serious complications associated with these devices make them particularly appealing. Neurologic symptoms associated with central venous catheters inserted into leg veins are being increasingly reported. Many of these reports highlight concern for accurate and timely identification of catheter malposition into the ascending lumbar vein and the level of expertise of clinicians in conducting an accurate assessment. The etiology of this complication, signs and symptoms, and prevention measures will be outlined.