-
Anesthesia and analgesia · Jul 2004
Case ReportsLife-threatening mediastinal hematoma caused by extravascular infusion through a triple-lumen central venous catheter.
- Matthias Hohlrieder, Rosmarie Oberhammer, Ingo H Lorenz, Josef Margreiter, Gabriele Kühbacher, and Christian Keller.
- Department of Anesthesiology and Critical Care Medicine, University of Innsbruck, Austria. matthias.hohlrieder@uibk.ac.at
- Anesth. Analg. 2004 Jul 1; 99 (1): 31-5.
AbstractWe report a case of life-threatening mediastinal hematoma in a 6-mo-old girl during surgical correction of scaphocephaly. The hematoma was caused by extravascular infusion via the proximal lumen of a dislocated triple-lumen central venous catheter (CVC). Worsening symptoms of hypovolemia and ventilation problems prompted performance of transesophageal echocardiography, which reliably and quickly allowed us to exclude pericardial tamponade and detect a mediastinal hematoma. The anesthesiologist should be alert when a patient with a CVC develops acute cardiopulmonary or respiratory symptoms. Repeated aspirations of blood, especially after major positional changes and before giving large quantities of fluid or blood, should be performed to detect secondary malposition of the CVC.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..