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Massive hemothorax after central venous catheter insertion in a patient with multiple trauma

Journal of Dental Anesthesia and Pain Medicine 2021년 21권 1호 p.81 ~ 85
박정헌, 송재격, 오평화,
소속 상세정보
박정헌 ( Park Jeong-Heon ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
송재격 ( Song Jae-Gyok ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
오평화 ( Oh Pyeong-Wha ) - Dankook University Hospital Department of Anesthesiology and Pain Medicine

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.

키워드

Catheterization; Central Venous Catheters; Hemothorax; Ultrasonography

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