| Delayed Tension Pneumothorax Complicating Subclavian Vein Catheterization and Positive Pressure Ventilation: A case report. |
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Young Soon Choi, Ok Hwan Lim, Mi Kyung Yang, Ik Soo Chung, Yu Hong Kim |
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Department of Anesthesiology, Samsung Medical Center, Seoul, Korea. |
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| Abstract |
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Pneumothorax is the most common complication after central venous catheterization and routinely assessed by a chest X-ray within 4 hours after catheter placement. The diagnosis of pneumothorax may be delayed for hours or days because of minimal clinical symptoms or radiologic signs on initial evaluation. Pneumothorax may progress to tension pneumothorax after positive-pressure ventilation with a potentially fetal outcome. We report a case in which a patient developed a tension pneumothorax while positive-pressure ventilation for general anesthesia 1 day after subclavian vein catheterization, although initial post-insertion chest X-ray was normal. |
| Key Words:
Complications, pulmonary: delayed tension pneumothorax; Equipment: catheters, central venous; subclavian vein; Ventilation: positive airway |
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