When Subclavian Vein Cannulation Attempts Must Be Stopped?

Lefrant, Jean Yves; Muller, Luis Antonio; Nouvellon, Emmanuel; Saïssi, Fellow G.; Coussaye, J-E de La; Eledjam, Jean‐Jacques

doi:10.1097/00000542-199809003-00011

Cited by 2 publications

(2 citation statements)

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“…Furthermore, this complication appears to be directly proportional to the number of attempts undertaken. More than three attempts are associated with a complication rate of approximately 50% [8].…”

Section: Discussionmentioning

confidence: 99%

Chest X-Ray appearance of total opacification of the hemithorax following central venous line insertion: A cautionary tale

Kong¹,

Naidoo²,

Jeetoo³

et al. 2013

IJCRI

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Introduction: central venous line insertion is associated with significant complications.Procedural complications relating to lung injury is relatively common, and these may require tube thoracostomy for management. Although a postprocedure chest X-ray is routinely undertaken in many centers, erroneous interpretation can lead to potentially incorrect and unnecessary further intervention. case report: We report a case of a 25-year-old male who had a central venous line inserted, with the chest X-ray appearance of a massive opacification of the hemithorax misdiagnosed as a hemothorax and planned tube thoracostomy. It was subsequently confirmed as a complete pulmonary collapse caused by a large mucus plug with obstruction of the main

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Section: Discussionmentioning

confidence: 99%

Chest X-Ray appearance of total opacification of the hemithorax following central venous line insertion: A cautionary tale

Kong¹,

Naidoo²,

Jeetoo³

et al. 2013

IJCRI

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show abstract

“…[14] The overall reported incidence is in the range of 1-13% with 2-5% being typical. This incidence increases to about 40% if multiple attempts are made.…”

Section: Mechanism Of Injurymentioning

confidence: 99%

Principles of diagnosis and management of traumatic pneumothorax

Sharma

Jindal

2008

J Emerg Trauma Shock

102

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Presence of air and fluid with in the chest might have been documented as early as Fifth Century B.C. by a physician in ancient Greece, who practiced the so-called Hippocratic succession of the chest. This is due to a development of communication between intrapulmonary air space and pleural space, or through the chest wall between the atmosphere and pleural space. Air enters the pleural space until the pressure gradient is eliminated or the communication is closed. Increasing incidence of road traffic accidents, increasing awareness of healthcare leading to more advanced diagnostic procedures, and increasing number of admissions in intensive care units are responsible for traumatic (noniatrogenic and iatrogenic) pneumothorax. Clinical spectrum of pneumothorax varies from asymptomatic patient to life-threatening situations. Diagnosis is usually made by clinical examination. Simple erect chest radiograph is sufficient though; many investigations are useful in accessing the future line of action. However, in certain life-threatening conditions obtaining imaging studies can causes an unnecessary and potential lethal delay in treatment.

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When Subclavian Vein Cannulation Attempts Must Be Stopped?

Cited by 2 publications

References 0 publications

Chest X-Ray appearance of total opacification of the hemithorax following central venous line insertion: A cautionary tale

Chest X-Ray appearance of total opacification of the hemithorax following central venous line insertion: A cautionary tale

Principles of diagnosis and management of traumatic pneumothorax

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