Document Detail

Acute airway obstruction in a child with acute lymphoblastic leukaemia during central venous catheterization.
MedLine Citation:
PMID:  9836220     Owner:  NLM     Status:  MEDLINE    
We report the case of a seven-year-old girl with recently diagnosed acute lymphoblastic leukaemia (ALL) who suffered acute airway obstruction during insertion of a central venous catheter under general anaesthesia. The central airway obstruction was due to a mixture of leukaemic cells, blood clot and fibrin. There is discussion about airway obstruction both as a complication of central line insertion and secondary to ALL. The pulmonary complications of ALL, with particular reference to pulmonary haemorrhage, are detailed. The management of blood clot obstructing the central airway is discussed.
P M Sanderson; E Hartsilver
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  8     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  1998  
Date Detail:
Created Date:  1999-02-12     Completed Date:  1999-02-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  516-9     Citation Subset:  IM    
Department of Anaesthesia, British Columbia's Children's Hospital, Vancouver, Canada.
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MeSH Terms
Airway Obstruction / etiology*
Anesthesia, General*
Bronchi / pathology
Catheterization, Central Venous / adverse effects*
Intubation, Intratracheal
Leukemic Infiltration / complications
Precursor Cell Lymphoblastic Leukemia-Lymphoma / complications*
Subclavian Vein
Thrombosis / complications
Trachea / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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