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Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi)

Year 2005, Volume: 22 Issue: 3, 131 - 134, 31.12.2009

Abstract

Aynı Taraf Sol İnternal Jugular ve Subklavian Venöz Kateterizasyondan Sonra Tekrarlayan Hemotoraks
Kritik hastada en sık kullanılan invaziv girişimlerden birisi de santral kateterizasyon işlemidir. Kateterizasyon sıklıkla internal juguler ve subklavian vene uygulanır. Bu venler hemo-dinamik monitorizasyona izin verdiği gibi ilaç ve sıvı tedavileri, kan transfüzyonu ve total pa-renteral beslenmeye için de olanak sağlar. Komplikasyonlar internal juguler vende %1-4 sıklıkla arter delinmesi ve subklavian girişimlerde %1-5 sıklıkla hemotoraks ve hidrotorakstır. Bizim hastamızda ilk girişimde yerleştirilen internal juguler ven kateteri hemotoraksa yol açmıştır. Yoğun bakım koşullarında sol subklavian vene yerleştirilen kateter toraks içerisine yerleştirilmiştir. Sonuç olarak internal jugular ve subklavian venöz kateterizasyonun mekanik komplikasyonları benzer riskler taşımaktadır ve aynı taraftan çoklu kateterizasyon girişimlerinde komplikasyon olasılığı artabilmektedir.



Central venous catheterization is one of the most commonly used invasive procedures in c ritic ally ill patients. The most frequent sites of cannulation are the internal jugular and subclavian veins. They permit hemodynamic monitoring and allow access for the administratio n of fluids, blood products, medications, and total parenteral nutrition (TPN). Complications include arterial puncture with the internal jugular approach (0.1 to 4%) and pneumothorax or hemothorax with the subclavian approach (1 to 5%). Our patient with left internal juguler vein catheterization was complicated with hemothorax in the first cannulation application in operation. Left subclavian vein was cannulated in the intensive care unit and catheter was placed into the thorax. Overall, internal jugular and subclavian venous catheterization carry similar risks of mechanical complications as multiple cannulation applications in ipsilateral side, might increase complication rate.

References

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  • Arnow PM, Quimosing EM, Beach M. Consequences of intravascular catheter sepsis. Clin Infect Dis 1993; 16: 778–84.
  • Richards MJ, Edwards JR, Culver DH, et al. Nosocomial infections in medical intensive care units in the United States. Crit Care Med 1999; 27: 887–92. 4. Merrer J, De Jonghe B, Golliot F, et al. Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. JAMA 2001; 286: 700–7.
  • Sznajder JI, Zveibil FR, Bitterman H, et al. Central vein catheterization: failure and complication rates by three percutaneous approaches. Arch Intern Med 1986; 146: 259–61.
  • Veenstra DL, Saint S, Saha S, et al. Efficacy of a n t iseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: a meta-analysis. JAMA 1999; 281: 261–7.
  • Muhm M. Ultrasound guided central venous access (editorial). BMJ 2002; 325: 1373–74.
  • Rosen M, Latto IP, Nug WS. et al. Handbook of p e r c u t a n e o u s
  • London: WB Saunders; 1981.
  • Bowdle TA. Complication of invasive monitoring. Anest Clin N Am 2002; 20: 571–88.
  • Vaquez RM, Brodski EG. Primary and secondary m a l p o s i t i o n of silicone central venous catheters. Acta Anaest Scand Suppl 1985; 81: 22–6.
  • Brister NW, Barnette RE. Intrapleural placement of central venous catheter. Failure of preventive p r a c t i c e s . Chest 1992; 101: 1458–9.
  • Paw HGW. Bilateral pleural effusions: unexpected complication after left internal jugular venous catheterization for total parenteral nutrition. Br J Anaest 2002; 89: 647–50.
  • Madhavi P, Jameson R, Robinson MJ et al. Unilateral pleural effusion complication central venous c a t h e t e r i z a t i o n . Arch Dis Child Fetal Neonatal Ed. 2000; 82: 248–9.
  • Johnson EM, Saltzman DA, Suh G, et al. Complications and risks of central venous placement in children. Surgery 1998; 124: 911–6.
  • Janik JE, Cothren CC, Janik JS, et al. Is a routine chest x ray necessary for children after fluoroscopically assisted central venous access. Pediatric Surg. 2003; 38: 1199–202.
  • Karakaya D, Baris S, Üstün E. et al. Hydrothorax a life threatening complication during thoracotomy. Paed Anaesth 2002; 12: 809.
Year 2005, Volume: 22 Issue: 3, 131 - 134, 31.12.2009

Abstract

References

  • Pittet D, Tarara D, Wenzel RP. Nosocomial bloodstream infection in critically ill patients: excess length of stay, extra costs, and attributable mortality. JAMA 1994; 271: 1598–601.
  • Arnow PM, Quimosing EM, Beach M. Consequences of intravascular catheter sepsis. Clin Infect Dis 1993; 16: 778–84.
  • Richards MJ, Edwards JR, Culver DH, et al. Nosocomial infections in medical intensive care units in the United States. Crit Care Med 1999; 27: 887–92. 4. Merrer J, De Jonghe B, Golliot F, et al. Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. JAMA 2001; 286: 700–7.
  • Sznajder JI, Zveibil FR, Bitterman H, et al. Central vein catheterization: failure and complication rates by three percutaneous approaches. Arch Intern Med 1986; 146: 259–61.
  • Veenstra DL, Saint S, Saha S, et al. Efficacy of a n t iseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: a meta-analysis. JAMA 1999; 281: 261–7.
  • Muhm M. Ultrasound guided central venous access (editorial). BMJ 2002; 325: 1373–74.
  • Rosen M, Latto IP, Nug WS. et al. Handbook of p e r c u t a n e o u s
  • London: WB Saunders; 1981.
  • Bowdle TA. Complication of invasive monitoring. Anest Clin N Am 2002; 20: 571–88.
  • Vaquez RM, Brodski EG. Primary and secondary m a l p o s i t i o n of silicone central venous catheters. Acta Anaest Scand Suppl 1985; 81: 22–6.
  • Brister NW, Barnette RE. Intrapleural placement of central venous catheter. Failure of preventive p r a c t i c e s . Chest 1992; 101: 1458–9.
  • Paw HGW. Bilateral pleural effusions: unexpected complication after left internal jugular venous catheterization for total parenteral nutrition. Br J Anaest 2002; 89: 647–50.
  • Madhavi P, Jameson R, Robinson MJ et al. Unilateral pleural effusion complication central venous c a t h e t e r i z a t i o n . Arch Dis Child Fetal Neonatal Ed. 2000; 82: 248–9.
  • Johnson EM, Saltzman DA, Suh G, et al. Complications and risks of central venous placement in children. Surgery 1998; 124: 911–6.
  • Janik JE, Cothren CC, Janik JS, et al. Is a routine chest x ray necessary for children after fluoroscopically assisted central venous access. Pediatric Surg. 2003; 38: 1199–202.
  • Karakaya D, Baris S, Üstün E. et al. Hydrothorax a life threatening complication during thoracotomy. Paed Anaesth 2002; 12: 809.
There are 16 citations in total.

Details

Primary Language English
Journal Section Basic Medical Sciences
Authors

F. Ülger, This is me

B. Sarıhasan This is me

A. Şenel This is me

Publication Date December 31, 2009
Submission Date October 28, 2009
Published in Issue Year 2005 Volume: 22 Issue: 3

Cite

APA Ülger, F., Sarıhasan, B., & Şenel, A. (2009). Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi). Journal of Experimental and Clinical Medicine, 22(3), 131-134. https://doi.org/10.5835/jecm.v22i3.70
AMA Ülger, F, Sarıhasan B, Şenel A. Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi). J. Exp. Clin. Med. December 2009;22(3):131-134. doi:10.5835/jecm.v22i3.70
Chicago Ülger, F., B. Sarıhasan, and A. Şenel. “Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi)”. Journal of Experimental and Clinical Medicine 22, no. 3 (December 2009): 131-34. https://doi.org/10.5835/jecm.v22i3.70.
EndNote Ülger, F, Sarıhasan B, Şenel A (December 1, 2009) Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi). Journal of Experimental and Clinical Medicine 22 3 131–134.
IEEE F. Ülger, B. Sarıhasan, and A. Şenel, “Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi)”, J. Exp. Clin. Med., vol. 22, no. 3, pp. 131–134, 2009, doi: 10.5835/jecm.v22i3.70.
ISNAD Ülger,, F. et al. “Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi)”. Journal of Experimental and Clinical Medicine 22/3 (December 2009), 131-134. https://doi.org/10.5835/jecm.v22i3.70.
JAMA Ülger, F, Sarıhasan B, Şenel A. Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi). J. Exp. Clin. Med. 2009;22:131–134.
MLA Ülger, F. et al. “Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi)”. Journal of Experimental and Clinical Medicine, vol. 22, no. 3, 2009, pp. 131-4, doi:10.5835/jecm.v22i3.70.
Vancouver Ülger, F, Sarıhasan B, Şenel A. Repeated Hemothorax Following Ipsilateral Left Internal Jugular and Left Subclavian Venous Catheterization(Olgu Bildirimi). J. Exp. Clin. Med. 2009;22(3):131-4.