Abstract
Three patients are described who developed hydrothorax as a complication of central venous catheterization. Respiratory distress associated with physical signs of fluid in the chest should arouse suspicion that the venous catheter has perforated the wall of the vein.
The complications of central venous catheterization are reviewed and three cases of hydrothorax are presented. Comments on the prevention of these complications, their diagnosis and treatment if they occur, are made.
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- Adar R., Mozes M. Fatal complications of central venous catheters. Br Med J. 1971 Sep 25;3(5777):746–746. doi: 10.1136/bmj.3.5777.746. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Adar R., Mozes M. Hydromediastinum. JAMA. 1970 Oct 12;214(2):372–372. doi: 10.1001/jama.1970.03180020090022. [DOI] [PubMed] [Google Scholar]
- Arnold S., Feathers R. S., Gibbs E. Bilateral pneumothoraces and subcutaneous emphysema: a complication of internal jugular venepuncture. Br Med J. 1973 Jan 27;1(5847):211–212. doi: 10.1136/bmj.1.5847.211. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bolasny B. L., Shepard G. H., Scott H. W., Jr The hazards of intravenous polyethylene catheters in surgical patients. Surg Gynecol Obstet. 1970 Feb;130(2):342–346. [PubMed] [Google Scholar]
- Colvin M. P., Blogg C. E., Savege T. M., Jarvis J. D., Strunin L. A safe long-term infusion technique? Lancet. 1972 Aug 12;2(7772):317–320. doi: 10.1016/s0140-6736(72)92918-2. [DOI] [PubMed] [Google Scholar]
- Darrell J. H., Garrod L. P. Secondary septicaemia from intravenous cannulae. Br Med J. 1969 May 24;2(5655):481–482. doi: 10.1136/bmj.2.5655.481. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Doering R. B., Stemmer E. A., Connolly J. E. Complications of indwelling venous catheters, with particular reference to catheter embolus. Am J Surg. 1967 Aug;114(2):259–266. doi: 10.1016/0002-9610(67)90381-9. [DOI] [PubMed] [Google Scholar]
- English I. C., Frew R. M., Pigott J. F., Zaki M. Percutaneous catheterisation of the internal jugular vein. Anaesthesia. 1969 Oct;24(4):521–531. doi: 10.1111/j.1365-2044.1969.tb02905.x. [DOI] [PubMed] [Google Scholar]
- Jernigan W. R., Gardner W. C., Mahr M. M., Milburn J. L. Use of the internal jugular vein for placement of central venous catheter. Surg Gynecol Obstet. 1970 Mar;130(3):520–524. [PubMed] [Google Scholar]
- Northfield T. C., Smith T. Central venous pressure in clinical management of acute gastrointestinal bleeding. Lancet. 1970 Sep 19;2(7673):584–586. doi: 10.1016/s0140-6736(70)90166-2. [DOI] [PubMed] [Google Scholar]
- Thomas C. S., Jr, Carter J. W., Lowder S. C. Pericardial tamponade from central venous catheters. Arch Surg. 1969 Feb;98(2):217–218. doi: 10.1001/archsurg.1969.01340080109023. [DOI] [PubMed] [Google Scholar]
- Walker M. M., Sanders R. C. Pneumothorax following supraclavicular subclavian venepuncture. Anaesthesia. 1969 Jul;24(3):453–460. doi: 10.1111/j.1365-2044.1969.tb02886.x. [DOI] [PubMed] [Google Scholar]
- Wilmore D. W., Dudrick S. J. Safe long-term venous catheterization. Arch Surg. 1969 Feb;98(2):256–258. doi: 10.1001/archsurg.1969.01340080148035. [DOI] [PubMed] [Google Scholar]


