Acute airway obstruction following placement of a subclavian Hickman catheter.
The purpose of this case report is to describe the events, intervention, and aetiology which led to acute airway obstruction in an adult patient after the placement of a Hickman catheter. Airway obstruction secondary to superior vena cava obstruction occurred after placement of a subclavian vein Hickman catheter. This was felt to occur, in part, to a narrowed superior vena cava as evident by subclavian venography. It resulted in emergency oral tracheal intubation to relieve airway obstruction. Shortly after removal of the Hickman catheter, the signs of superior vena cava obstruction syndrome resolved and the patient was extubated without incidence. It is concluded that, although rare, the serious complication of acute airway obstruction can occur after placement of a Hickman catheter.
O'Hara
J F
JF
Division of Anesthesiology, Cleveland Clinic Foundation, Ohio 44195-5001.
Brand
M I
MI
Boutros
A R
AR
D000208:Acute Disease; D000402:Airway Obstruction / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D013350:Subclavian Vein; D013479:Superior Vena Cava Syndrome / Q000209:etiology*; D014683:Vena Cava, Superior / Q000473:pathology