Bilateral Chest Injury after Landmark-Guided Difficult Central Venous Cannulation-a Case Report

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Published: Jan 4, 2024
Keywords:
central venous catheter, central venous puncture, chest radiograph, complications, hydrothorax, landmark technique, pneumothorax

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Nora Mihalek
Oncology Institute of Vojvodina, Department of Anaesthesiology and Intensive Care, Sremska Kamenica, Faculty of Medicine, University of Novi Sad, Novi Sad
Katarina Krstic
Oncology Institute of Vojvodina, Department of Anaesthesiology and Intensive Care, Sremska Kamenica
Sanja Starcevic
Oncology Institute of Vojvodina, Department of Anaesthesiology and Intensive Care, Sremska Kamenica, Faculty of Medicine, University of Novi Sad, Novi Sad
Dragana Radovanovic
Oncology Institute of Vojvodina, Department of Anaesthesiology and Intensive Care, Sremska Kamenica, Faculty of Medicine, University of Novi Sad, Novi Sad
Gabor Erdoes
Inselspital, University Hospital Bern, University of Bern, Department of Anaesthesiology and Pain Medicine, Bern

Abstract

Central venous catheter placement is a high-risk procedure in anesthesia practice. We report a case of bilateral chest injury after difficult central venous catheter placement according to the landmark technique. Thirty hours after central venous catheter placement, the patient developed a right-sided hydrothorax (secondary to malposition of the central venous catheter) and a left-sided pneumothorax (secondary to multiple attempts at central venous catheter insertion). The patient was intubated and bilateral chest drainage was performed. This report underlines the importance of avoiding bilateral central venous puncture and highlights the importance of proper diagnostics to detect post-intervention complications.

Article Details

Issue
Vol. 50 No. 1 (2024): January - February
Section
Case reports
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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