Massive hemothorax after central venous catheter insertion in a patient with multiple trauma
10.17245/jdapm.2021.21.1.81
- Author:
Jeong Heon PARK
1
;
Jaegyok SONG
;
Pyeong-wha OH
Author Information
1. Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea
- Publication Type:Case Report
- From:Journal of Dental Anesthesia and Pain Medicine
2021;21(1):81-85
- CountryRepublic of Korea
- Language:English
-
Abstract:
Central venous catheter (CVC) insertion is commonly used in the operating room and intensive care unit to monitor central venous pressure and secure an intravenous route to deliver medications and nutritional support that cannot be safely infused into peripheral veins. However, CVC insertion may be associated with serious complications such as arterial puncture, hematoma, pneumothorax, hemothorax, catheter infections, and thrombosis. Several methods have been recommended to prevent these complications. Here we report a case of massive hemothorax caused by attempts of CVC insertion into the internal jugular vein and subclavian vein in a patient with multiple trauma. CVC placement should be performed or supervised by an experienced physician to decrease the incidence of CVC-related complications. CVC insertion under ultrasound guidance is recommended.
