Tension hydrothorax induced by malposition of central venous catheter: A case report.
10.17085/apm.2017.12.2.151
- Author:
Seunghee KI
1
;
Myoung hun KIM
;
Wonjin LEE
;
Hakmoo CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. pain_kill@naver.com
- Publication Type:Case Report
- Keywords:
Central venous catheterization;
Hydrothorax;
Tension
- MeSH:
Catheterization, Central Venous;
Catheters;
Central Venous Catheters*;
Central Venous Pressure;
Chest Tubes;
Drainage;
Embolism, Air;
Hemodynamics;
Hemothorax;
Humans;
Hydrothorax*;
Jugular Veins;
Methods;
Pneumothorax;
Ventilators, Mechanical
- From:Anesthesia and Pain Medicine
2017;12(2):151-154
- CountryRepublic of Korea
- Language:English
-
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.
