BİLGİN EMRECAN, Kadir Gökhan SAÇKAN, Gökhan ÖNEM, Mustafa SAÇAR

Juguler venöz kateter uygulamasında toraks boşluğuna yönelen kateter ve hemotoraks bulgusu

Hemotoraks erken tanı ve tedavi gerektiren ciddi bir klinik durumdur. Bu olgu sunumunda atriyal septal defekt operasyonu için genel anestezi ile uyutulduktan sonra yanlışlıkla toraks boşluğuna ilerletilmiş santral juguler ven kateterine bağlı olarak görülen hidro-hemotoraks olgusunu sunmaktayız.

Catheter bending towards the thoracal cavity in jugular venous catheterization intervention and hemothorax finding

Hemothorax is a serious clinical situation which necessitates early diagnosis and treatment. In this case report we present a hydro-hemothorax case due to misplacement of a central jugular venous catheter in the thoracal cavity after general anesthesia for atrial septal defect operation.

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1. Albuquerque Júnior FC, Vasconcelos PR. Technical aspects of central venous catheterization.. Curr Opin Clin Nutr Metab Care. 1998;1:297-304 .
2. Seelig SK, Klingler PJ, Waldenberger P. Spontaneous rupture and embolization: a rare complication of port catheter implantation. Dtsch Med Wochenschr. 2000 19;125:628-30 .
3. Schummer W, Schummer C, Rose N, Niesen WD, Sakka SG. Mechanical complications and malpositions of central venous cannulations by experienced operators. A prospective study of 1794 catheterizations in critically ill patients. Intensive Care Med. 2007;33:1055-9.
4. McGee DC, Gould MK Preventing complications of central venous catheterization. N Engl J Med 2003; 348:1123–33.
5. Lefrant JY, Muller L, De La Coussaye JE, Prudhomme M, Ripart J, Gouzes C, Peray P, Saissi G, Eledjam JJ Risk factors of failure and immediate complication of subclavian vein catheterization in critically ill patients. Intensive Care Med 2002; 28:1036–41.
6. Polderman KH, Girbes AJ Central venous catheter use. Mechanical complications. Intensive Care Med 2002; 28:1–17.
7. Mansfield PF, Hohn DC, Fornage BD, Gregurich MA, Ota DM Complications and failures of subclavian-vein catheterization. N Engl J Med 1994; 331:1735–8.
8. Merrer J, De Jonghe B, Golliot F, Lefrant JY, Raffy B, Barre E, et al. Complications of femoral and subclavian venous catheterization in critically ill patients : A ramdomized conrolled tria. JAMA. 2001;286:700-7.
9. Chiang VW, Baskin MN.. Uses and complications of central venous catheters inserted in a pediatric emergency department.. Pediatr. Emerg Care 2000;16:230-2.
10. Ely EW, Hite RD, Baker AM, Johnson MM, Bowton DL, Haponik EF. Venous air embolism from central venous catheterization: a need for increased physician awareness: Crit Care Med. 1999;27:2113-7.