Document Detail


Airway obstruction due to a pre-vertebral haematoma following difficult central line insertion--implications for ultrasound guidance and review of the literature.
MedLine Citation:
PMID:  19400499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a case of airway obstruction secondary to a large pre-vertebral cervico-mediastinal haematoma following failed attempts at insertion of an internal jugular central venous line. The need for a high index of suspicion to diagnose this injury and early aggressive intervention to manage it are outlined. The role of ultrasound guidance in preventing such a complication is reviewed, as well as other possible mechanisms of haematoma development.
Authors:
A Udy; S Senthuran; J Lipman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  37     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-04-29     Completed Date:  2009-05-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  309-13     Citation Subset:  IM    
Affiliation:
Department of Intensive Care Medicine, Royal Brisbane and Womens Hospital, Brisbane, Queensland, Australia
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MeSH Terms
Descriptor/Qualifier:
Airway Obstruction / etiology*
Catheterization, Central Venous / adverse effects,  methods*
Female
Hematoma / complications*
Humans
Jugular Veins / ultrasonography
Mediastinal Diseases / complications*
Middle Aged
Pleural Diseases / complications*
Ultrasonography / methods*
Comments/Corrections
Comment In:
Anaesth Intensive Care. 2009 Mar;37(2):171-4   [PMID:  19400481 ]

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


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