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Literature DB >> 26867603

[Bleeding during central venous catheterization : Cannot intubate, cannot ventilate due to massive cervical hematoma].

C Engelen¹, C Trebes², S Czarnecki², A Junger³.

Abstract

Central venous catheterization is an invasive procedure which can be associated with severe complications. These include in particular unsuccessful arterial puncture and vascular injuries, which in addition to loss of blood can lead to massive soft tissue swelling. A 63-year-old female patient developed massive cervical bleeding during ultrasound-guided internal jugular vein puncture and the rapidly enlarging hematoma led to compromisation of the airway. A cannot intubate, cannot ventilate situation developed and the subsequent hypoxia led to cardiac arrest that was only resolved after emergency surgical tracheotomy during cardiopulmonary resuscitation.

Entities: Disease Species

Keywords: Airway management; Catheterization; Jugular veins; Patient safety; Subcutaneous emphysema

Mesh：

Year: 2016 PMID： 26867603 DOI： 10.1007/s00101-015-0134-3

Source DB: PubMed Journal: Anaesthesist ISSN： 0003-2417 Impact factor: 1.041

15 in total

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Authors: David C McGee; Michael K Gould
Journal: N Engl J Med Date: 2003-03-20 Impact factor: 91.245

2. Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access.

Authors: Stephen M Rupp; Jeffrey L Apfelbaum; Casey Blitt; Robert A Caplan; Richard T Connis; Karen B Domino; Lee A Fleisher; Stuart Grant; Jonathan B Mark; Jeffrey P Morray; David G Nickinovich; Avery Tung
Journal: Anesthesiology Date: 2012-03 Impact factor: 7.892

3. [Acute upper airway obstruction caused by cervical hematoma as a complication of an internal jugular vein catheter].

Authors: J Weimann; M Frass; O Traindl; J Pidlich; C Leithner
Journal: Acta Med Austriaca Date: 1990

4. [Ultrasound guidance for placement control of central venous catheterization. Survey of 802 anesthesia departments for 2007 in Germany].

Authors: W Schummer; S G Sakka; E Hüttemann; K Reinhart; C Schummer
Journal: Anaesthesist Date: 2009-07 Impact factor: 1.041

[Bleeding during central venous catheterization : Cannot intubate, cannot ventilate due to massive cervical hematoma].

Review 1. Preventing complications of central venous catheterization.

2. Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access.

3. [Acute upper airway obstruction caused by cervical hematoma as a complication of an internal jugular vein catheter].

4. [Ultrasound guidance for placement control of central venous catheterization. Survey of 802 anesthesia departments for 2007 in Germany].

5. [Real-time ultrasound guided vascular access].

6. The Internal jugular veins are asymmetric. Usefulness of ultrasound before catheterization.

7. [Ultrasound-guided central venous access in adults and children: Procedure and pathological findings].

Review 8. Arterial trauma during central venous catheter insertion: Case series, review and proposed algorithm.

9. Neck haematoma and airway obstruction in a patient with goitre: complication of internal jugular vein cannulation.

10. Fatal airway obstruction following arterial trauma during internal jugular venous cannulation.

1. [Injuries to blood vessels near the heart caused by central venous catheters].