Tension hydrothorax induced by malposition of central venous catheter: A case report
Anesthesia and Pain Medicine
; : 151-154, 2017.
Article
in En
| WPRIM
| ID: wpr-28772
Responsible library:
WPRO
ABSTRACT
Central venous catheterization is a useful method for monitoring central venous pressure and maintaining volume status. However, it is associated with several complications, such as pneumothorax, hydrothorax, hemothorax, and air embolism. Here we describe a case of iatrogenic tension hydrothorax after rapid infusion of fluid into the pleural space, following the misplacement of an internal jugular vein catheter. Despite ultrasonographic guidance during insertion of the central venous catheter, we were not able to avoid malposition of the catheter. The patient went into hemodynamic compromise during surgery, necessitating chest tube drainage and a mechanical ventilator postoperatively. This case shows that central venous catheter insertion under ultrasonographic guidance does not guarantee proper positioning of the catheter.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pneumothorax
/
Catheterization, Central Venous
/
Ventilators, Mechanical
/
Chest Tubes
/
Central Venous Pressure
/
Drainage
/
Embolism, Air
/
Catheters
/
Central Venous Catheters
/
Hemodynamics
Limits:
Humans
Language:
En
Journal:
Anesthesia and Pain Medicine
Year:
2017
Document type:
Article