Korean J Anesthesiol.  1998 Apr;34(4):863-866. 10.4097/kjae.1998.34.4.863.

Hydrothorax and Inadvertent Administration of Thiopental Sodium Following Malpositioned Internal Jugular Vein Catheter: A case report

• Kwon YS
• Lee SC
• Lee EM
• Chung MH
• Won RS

• KMID: 2039881
• DOI: http://doi.org/10.4097/kjae.1998.34.4.863

Abstract

A 53-year-old female admitted for multiple rib fracture, hemoptysis and dyspnea due to traffic accident. High resonance CT of the chest revealed bronchiectasis in left lower lobe. She presented for left lower lobectomy with the consent of her. A day before the operation, right internal jugular vein catheter was placed using anterior approach, and free blood flow was achieved. 2 hours after the procedure, she complained of mild chest pain and dyspnea but it was thought to reflect the rib fracture, and then 2 liters of fluid was administered through internal jugular vein catheter. Conducting anesthesia, thiopental sodium and succinylcholine chloride was administered through this route. But loss of consciousness of the patient didn't occur. The chest x-ray taken in OR showed hydrothorax on right pleural cavity.

Keyword

Complications: hydrothorax; extravasation; Anesthetics, intravenous: thiopental sodium; Veins: internal jugular vein

MeSH Terms

Accidents, Traffic
Anesthesia
Bronchiectasis
Catheters*
Chest Pain
Dyspnea
Female
Hemoptysis
Humans
Hydrothorax*
Jugular Veins*
Middle Aged
Pleural Cavity
Rib Fractures
Succinylcholine
Thiopental*
Thorax
Unconsciousness
Succinylcholine
Thiopental