Acute Crit Care.  2018 Nov;33(4):280-281. 10.4266/acc.2017.00598.

Tension Pneumothorax after Attempting Insertion of a Central Venous Catheter

Affiliations
  • 1Department of Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. medhun@hanmail.net

Abstract

No abstract available.


MeSH Terms

Central Venous Catheters*
Pneumothorax*

Figure

  • Figure 1. Chest X-ray showing right tension pneumothorax with mediastinal shifting to the left side. The right lung is completely collapsed (arrows), and the trachea is pushed to the left. The right hemidiaphragm is depressed.

  • Figure 2. Chest X-ray showing chest tube positioning and improved tension pneumothorax.


Reference

1. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003; 348:1123–33.
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2. Eisen LA, Narasimhan M, Berger JS, Mayo PH, Rosen MJ, Schneider RF. Mechanical complications of central venous catheters. J Intensive Care Med. 2006; 21:40–6.
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3. Roberts DJ, Leigh-Smith S, Faris PD, Blackmore C, Ball CG, Robertson HL, et al. Clinical presentation of patients with tension pneumothorax: a systematic review. Ann Surg. 2015; 261:1068–78.
4. Plewa MC, Ledrick D, Sferra JJ. Delayed tension pneumothorax complicating central venous catheterization and positive pressure ventilation. Am J Emerg Med. 1995; 13:532–5.
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