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KMID : 0356919960300050624
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Korean Journal of Anesthesiology
1996 Volume.30 No. 5 p.624 ~ p.627
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Tension Pneumothorax following Subclavian Vein Cannulation in the Patient with Chronic Obstructive Pulmonary Disease -A case report-
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Abstract
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Subclavian vein cannulation as a central venous route is a simple and rapid beside procedure and most reliable method. The supraclavicular approach to the subclavian vein depended on a fixed entry point and accurate angulation of the needle and
is
particularly free from infection and phlebitis although catheters have been left in situ for long-term period. Tension pneumothorax is a complication of subclavian vein cannulation. The incidence of pneumothorax in patients with chronic
obstructive
pulmonary disease(COPD) is higher than in the general population and can result in serious respiratory compromise. Because pneumothorax is serious complication in COPD, its presence must be anticipated so that close and prompt treatment,
including
immediate re-expansion of the lung, is offered.
Authors presented one case that the patient with COPD developed tension pneumothorax in right side lung resulting from inadvertent lung injury during supraclavicular subclavian vein cannulation under general anesthesia and on trendelenberg
position. The
patient was treated with immediate thoracostomy and recovered uneventfully. (Korean J Anesthesiol 1996; 30: 624~627)
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