Korean J Anesthesiol.  1998 Oct;35(4):756-760. 10.4097/kjae.1998.35.4.756.

Tracheal Puncture and Endotracheal Tube Cuff Perforation as a Complication of the Subclavian Vein Catheterization: A case report

• Roh WS
• Joo HC
• Kim BI
• Cho SK
• Lee SH

• KMID: 2091290
• DOI: http://doi.org/10.4097/kjae.1998.35.4.756

Abstract

Subclavian venous catheterization is common technique for a variety of purposes, but this procedure is associated with complications that include damage to the lung, pleura, thoracic duct, nerve and subclavian artery. We recently encountered a case of the tracheal puncture and endotracheal cuff perforation during the subclavian catheterization in a 67-year-old female who was scheduled for tracheal reconstruction. Tidal volume was escaping from around the endotracheal tube during the subclavian catheterization, however, repeated inflation of the cuff failed to maintain the necessary cuff pressure to seal the trachea. After the operation, by using the fiberoptic bronchoscope and injecting dye into the cuff, we confirmed the site of tracheal puncture and endotracheal cuff perforation which caused by the introducer needle of the central venous kit. We suggest that tracheal puncture and endotracheal cuff perforation be added to the list of complication of subclavian catheterization. This complication should be suspected whenever the cuff pressure cannot be maintained during or after an subclavian catheterization.

Keyword

Complications, miscellaneous: catheterization; subclavian; trachea

MeSH Terms

Aged
Bronchoscopes
Catheterization*
Catheters*
Female
Humans
Inflation, Economic
Lung
Methods
Needles
Pleura
Punctures*
Subclavian Artery
Subclavian Vein*
Thoracic Duct
Tidal Volume
Trachea
United Nations