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

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 rig...

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Autores principales: Wallin, Dina, Privette, Alicia R., Campbell, Andre R., Tang, Julin F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548104/
https://www.ncbi.nlm.nih.gov/pubmed/26347830
http://dx.doi.org/10.1155/2015/382624
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author Wallin, Dina
Privette, Alicia R.
Campbell, Andre R.
Tang, Julin F.
author_facet Wallin, Dina
Privette, Alicia R.
Campbell, Andre R.
Tang, Julin F.
author_sort Wallin, Dina
collection PubMed
description 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.
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spelling pubmed-45481042015-09-07 A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax Wallin, Dina Privette, Alicia R. Campbell, Andre R. Tang, Julin F. Case Rep Emerg Med Case Report 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. Hindawi Publishing Corporation 2015 2015-08-11 /pmc/articles/PMC4548104/ /pubmed/26347830 http://dx.doi.org/10.1155/2015/382624 Text en Copyright © 2015 Dina Wallin et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wallin, Dina
Privette, Alicia R.
Campbell, Andre R.
Tang, Julin F.
A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax
title A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax
title_full A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax
title_fullStr A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax
title_full_unstemmed A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax
title_short A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax
title_sort case of unrecognized intrathoracic placement of a subclavian central venous catheter in a patient with large traumatic hemothorax
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548104/
https://www.ncbi.nlm.nih.gov/pubmed/26347830
http://dx.doi.org/10.1155/2015/382624
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