Suspected Pulmonary Embolism during Hickman Catheterization in a Child: What Else Should Be Considered besides Pulmonary Embolism?.
10.4266/kjccm.2016.31.1.63
- Author:
Haemi LEE
;
Jonghyun BAEK
;
Sangyoung PARK
;
Daelim JEE
- Publication Type:Case Report
- Keywords:
cardiopulmonary resuscitation;
central venous catheters;
pediatrics;
pulmonary embolism
- MeSH:
Anesthesia, General;
Cardiopulmonary Resuscitation;
Catheterization*;
Catheters*;
Central Venous Catheters;
Child*;
Drug Therapy;
Female;
Hematopoietic Stem Cell Transplantation;
Humans;
Infant;
Pediatrics;
Precursor Cell Lymphoblastic Leukemia-Lymphoma;
Pulmonary Circulation;
Pulmonary Embolism*;
Subclavian Vein;
Thrombosis
- From:Korean Journal of Critical Care Medicine
2016;31(1):63-67
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 16-month-old girl with acute lymphoblastic leukemia expired during Hickman catheter insertion. She had undergone chemoport insertion of the left subclavian vein six months earlier and received five cycles of chemotherapy. Due to malfunction of the chemoport and the consideration of hematopoietic stem cell transplantation, insertion of a Hickmann catheter on the right side and removal of the malfunctioning chemoport were planned under general anesthesia. The surgery was uneventful during catheter insertion, but the patient experienced the sudden onset of pulseless electrical activity just after saline was flushed through the newly inserted catheter. Cardiopulmonary resuscitation was commenced aggressively, but the patient was refractory. Migration of a thrombus generated by the previous central catheter to the pulmonary circulation was suspected, resulting in a pulmonary embolism.
