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Sl. No.
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Particulars in Field
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Inputs
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1
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Event name
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ISACON Karnataka 2026
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2
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Organizing Department / Committee
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St John’s national academy of health sciences
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3
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Type of Event
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40th annual conference of ISA, karnataka
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4
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Level of Event
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State conference
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5
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Collaboration / Accreditation if any
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ISA, Bangalore metro branch, national ISA
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6
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Dates and Duration
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7–9 AUGUST 2026
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7
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Venue
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St John’s medical college, Bengaluru
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8
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Details of Delegates / Target Audience
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Postgraduate students, academicians, faculty across the nation, private practitioners
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9
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Total Number of Audience Attended
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1500
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10
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Objectives of the Event
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E poster case report presentation category for tittle
“Malpositioned Right Internal Jugular Venous Central Venous Catheter into the Right Subclavian Vein”
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11
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Brief Report of the Event (within 200 words)
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The poster presentation on Misplacement of CVC is recognized complication that may oocur despite use of ultrasound guidance and experienced operator. variations in normal venous anatomy congenital or acquired causes contribute to Malpositioning of CVC Leading to potential and serious complications .This case report highlights identifying and correcting techniques used to reposition the malpositioned CVC in the immediate intraoperative setting .
The case report also emphasised on using ultrasound only for initial needle localization leaves the remaining Seldinger technique blind, increasing the risk of catheter malposition. While chest X-ray detects malposition, it delays correction and may require repeat sterile preparation. The dynamic saline flush technique (“swirl sign”) provides immediate bedside confirmation and facilitates prompt catheter repositioning. Using saline flush technique with “swirl sign” positive and guidewire visualization. Initial swirl sign in the subclavian vein confirmed malposition. After guidewire withdrawal and redirection under ultrasound, absence of swirl sign in the subclavian vein indicated successful catheter repositioning into the correct central venous pathway.A post procedure chest radiograph revealed the catheter tip in
junction between superior venacava and right atrium.
Presented by: Dr Bindushree M B , 2nd year Postgraduate resident Department of Anaesthesiology, AIMS had presented case report as Delegate on the said above topic and had been selected as Finalist for Best E poster case report Awards of ISA Tumkur Delivered informative session on managing case majorly focusing on intra operative management which is encountered most commonly in Operative settings giving insightful technique of using Ultrasonography .
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12
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Feedback Analysis (Brief)
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The session was highly informative and clinically relevant, enhancing participants’ understanding of adopting a comprehensive ultrasound-guided protocol for central venous catheterisation that extends beyond initial vessel localization to include real-time guidance throughout the Seldinger technique and final catheter position verification. Incorporating pointof-care ultrasound (POCUS), including dynamic saline flush (“swirl sign”) assessment, enables immediate detection and correction of catheter malposition at the bedside.
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13
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Outcome
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This approach minimises reliance on confirmatory chest radiography, reduces procedural delays and repeat needle punctures, improves operating room efficiency, and ultimately enhances patient safety and procedural success.
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14
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Challenges faced
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No significant challenges were encountered during the session, and the scientific content was delivered smoothly with active participant engagement.
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15
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Recommendations
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To include more case-based discussions and interactive sessions to further enhance understanding and practical application of POCUS
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16
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SDG
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SDG 3, 4, 17
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