Transpleural central venous catheter discovered during thora
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Abstract :
We report an uncommon complication of subclavian central venous catheterization, discovered at thoracotomy. The central venous catheter (CVC) was placed by left infraclavicular route after induction of general anesthesia. CVC was secured after aspiration of blood and satisfactory central venous tracing. On thoracotomy, CVC was noticed to traverse the pleural cavity while the tracing was normal. CVC was thus removed consequent to which bleeding from each puncture site was noticed, that were secured surgically.

Case :
A 37-year-old male with cystic bronchiectasis in the left lower lobe was scheduled for left lower lobectomy. His preoperative checkup was unremarkable. Computerized tomography scan of the chest revealed cystic bronchiectasis in the left lower lobe with consolidation. Imaging cannot show “infection” and mild bronchiectasis in the right middle lobe. Following placement of routine monitors, thoracic epidural catheter was inserted in the T6-T7 interspace. Patient refused CVC insertion under local anesthesia. After induction of general anesthesia, the patient was intubated with right sided 41 FG double lumen tube.......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912667/
Preview
V●●●●●h G●●●a and 1 others like this
Like
Comment
Share