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논문 기본 정보

자료유형
학술저널
저자정보
Kevin M. Chen (Department of Anesthesiology Baylor College of Medicine Houston TX USA) Jamal Hasoon (Department of Anesthesia Critical Care and Pain Medicine UTHealth McGovern Medical School Houston TX USA) Anvinh Nguyen (Department of Anesthesiology Baylor College of Medicine Houston TX USA)
저널정보
대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.39 No.2
발행연도
2023.6
수록면
17 - 17 (1page)
DOI
10.5758/vsi.230030

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Numerous complications are associated with central venous catheters. Among them, cardiac tamponade is a rare but well-documented catastrophic complication. A 22-year-old healthy male presented with Code 1 trauma resulting from gunshot wounds in the abdomen. Upon examination, he was found to have a large pericardial fluid collection, a large right supraclavicular hematoma, and significant amount of bilateral pleural effusions secondary to extraluminal placement of the right internal jugular central line during resuscitation. After repairing the internal jugular injury and draining the pericardial fluid, the patient was transferred from the intensive care unit to the regular hospital floor. However, 15 days later, imaging revealed re-accumulation of a large pericardial effusion, which was eventually treated with a pericardial window operation. This case report explores potential complications that could arise from central line placement and the anesthetic considerations in a patient with cardiac tamponade from extraluminal central line placement.

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