A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax-Reference-Cited by-同舟云学术

A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax

Published:2015 Issue: Volume:2015 Page:1-2
ISSN:2090-648X
Container-title:Case Reports in Emergency Medicine
language:en
Short-container-title:Case Reports in Emergency Medicine

Author:

Wallin Dina¹,Privette Alicia R.²,Campbell Andre R.³,Tang Julin F.⁴

Affiliation:

1. UT Austin Pediatric Emergency Medicine Fellowship, Dell Children’s Medical Center, 4900 Mueller Boulevard, Austin, TX 78723, USA

2. Department of Surgery, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC 29425, USA

3. Division of General Surgery, San Francisco General Hospital, Campus Box 0807, San Francisco, CA 94143-0807, USA

4. Department of Anesthesia and Critical Care Medicine, San Francisco General Hospital, 1001 Potrero Avenue, SFGH 5, San Francisco, CA 94110, USA

Abstract

Traditional recommendations suggest placement of a subclavian central venous catheter (CVC) ipsilateral to a known pneumothorax to minimize risk of bilateral pneumothorax. We present the case of a 65-year-old male with a right hemopneumothorax who was found to have intrathoracic placement of his right subclavian CVC at thoracotomy despite successful aspiration of blood and transduction of central venous pressure (CVP). We thus recommend extreme caution with the interpretation of CVC placement by blood aspiration and CVP measurement alone in patients with large volume ipsilateral hemothorax.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,General Environmental Science

Link

http://downloads.hindawi.com/journals/criem/2015/382624.pdf

Reference6 articles.

1. Transpleural subclavian central venous catheter placement in a child with scoliosis discovered during a thoracotomy

2. Successful aspiration of blood does not exclude malposition of a large-bore central venous catheter

3. Ectopic intra-aortic insertion of a subclavian central venous catheter: case report and review of the literature

4. Tension haemopneumothorax as a complication of subclavian central venous access and pressure infusion

Cited by 3 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Malposition of a Central Venous Catheter in Trauma: Confirmation of Placement Prevents Complications;Journal of Trauma Nursing;2018-05

2. Bedside Procedure: Retained Central Venous Catheter;Vignettes in Patient Safety - Volume 2;2018-01-10

3. Case 35: Traumatic Hemothorax and Same-side Central Venous Access;Clinical Anesthesia;2017