• Resuscitation · Jan 2007

    Case Reports

    Haemothorax: A potentially fatal complication of subclavian cannulation--A case report.

    • K Deogaonkar, K Shokrollahi, and W A Dickson.
    • Welsh Centre for Burns & Plastic Surgery, Morriston Hospital, Morriston, Swansea SA6 6NL, United Kingdom. kedar_deogao@yahoo.com
    • Resuscitation. 2007 Jan 1;72(1):161-3.

    AbstractCentral venous cannulation forms one of the mainstays of management of trauma and haemodynamically unstable patients. Frequently this procedure has to be done as an emergency in the emergency department. Ultrasound guidance has been recommended, especially for use by trainee members of the emergency department. We report a case of 44% full thickness burns with subclavian artery puncture due to a misplaced central venous catheter. This led to massive haemothorax, which eventually caused the patient to succumb. We re-emphasise the need for ultrasound guidance for insertion of central venous lines, especially in the emergency setting.

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