Bilateral hydrothorax and hydromediastinum after a subclavian line insertion
- 1 July 1985
- journal article
- research article
- Published by Springer Science and Business Media LLC in Canadian Journal of Anesthesia/Journal canadien d'anesthésie
- Vol. 32 (4), 412-414
- https://doi.org/10.1007/bf03011352
Abstract
A 28-year-old male patient developed bilateral hydrothorax due to extravasation of fluid into the mediastinum from a subclavian line. The injection of radio-opaque dye through the central venous cannula confirmed spillage into the mediastinum. There was no direct communication between the central venous cannula and the pleural cavities. The hydrothorax appeared to develop as a result of a shift of fluid from the mediastinum into the pleuracavities due to pressure differences in the two compartments. Bilateral chest tubes were inserted, the subclavian cannula was removed and the patient made a good recovery. Un patient de 28 ans a développé un hydrothorax bilatéral, par extravasation dans le médiastin, suite à l’ insertion de cathéter dans la veine sous-clavière. L’ injection de produit radio-opaque par la canule veineuse centrale a démontré la fuite dans le médiastin. Il n’ y avait aucune communication directe entre la canule veineuse centrale et les cavités pleurales. L’ hydrothorax s’ est développé comme résultat d’ un transfert de liquide du médiastin vers les cavités pleurales à cause des différences depression dans les deux compartiments. Les tubes de drainage thoracique bilatéraux ont été insérés, la canule sous-clavière a été enlevée et le patient fut conduit vers la guérison.This publication has 15 references indexed in Scilit:
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