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

Authors

  • 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

Keywords:

central venous catheter, central venous puncture, chest radiograph, complications, hydrothorax, landmark technique, pneumothorax

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.

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Published

2024-01-04

How to Cite

Mihalek, N., Krstic, K., Starcevic, S., Radovanovic, D., & Erdoes, G. (2024). Bilateral Chest Injury after Landmark-Guided Difficult Central Venous Cannulation-a Case Report . Thai Journal of Anesthesiology, 50(1), 35–42. retrieved from https://he02.tci-thaijo.org/index.php/anesthai/article/view/267134

Issue

Vol. 50 No. 1 (2024): January - February

Section

Case reports

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