J Korean Soc Traumatol.  2019 Dec;32(4):252-257. 10.20408/jti.2019.040.

A Carbon Monoxide Poisoning Case in Which Hyperbaric Oxygen Therapy Was Not Possible Due to Iatrogenic Pneumothorax after Unnecessary Central Catheterization

• Kim HI
• Oh SB

• KMID: 2470095
• DOI: http://doi.org/10.20408/jti.2019.040

Abstract

Hyperbaric oxygen therapy (HBOT) is used to treat carbon monoxide (CO) poisoning. However, untreated pneumothorax is an absolute contraindication for HBOT. More caution is needed with regard to monoplace hyperbaric chambers, as patient monitoring and life-saving procedures are impossible inside these chambers. Central catheterization is frequently used for various conditions, but unnecessary catheterization must be avoided because of the risk of infection and mechanical complications. Herein, we describe a case of CO poisoning in which iatrogenic pneumothorax developed after unnecessary subclavian central catheterization. The patient did not need to be catheterized, and HBOT could not be performed because of the pneumothorax. Hence, this case reminds us of basic"”but nonetheless important"”principles of catheterization.

Keyword

Hyperbaric oxygenation; Complications; Pneumothorax; Catheterization, Central venous

MeSH Terms

Carbon Monoxide Poisoning*
Carbon Monoxide*
Carbon*
Catheterization
Catheterization, Central Venous*
Catheters
Humans
Hyperbaric Oxygenation*
Monitoring, Physiologic
Pneumothorax*
Poisoning
Carbon
Carbon Monoxide