[Chylothorax complicating a subclavian puncture controlled by positive-pressure expiratory ventilation].
We report a case of traumatic chylothorax which occurred after a right subclavian vein catheterisation. Chyle output exceeded 4 L.day-1 despite a continuous drainage of the pleural space, cessation of oral intake and mechanical ventilation. It was cured by addition of PEP to ventilation. The various causes and therapeutic approaches are reviewed.
Loeb
T
T
Département d'anesthésie-réanimation, hôpital Raymond-Poincaré, Garches, France.
Jean
N
N
Estournet-Mathiaud
B
B
D000063:Accidents, Traffic; D000293:Adolescent; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002916:Chylothorax / Q000209:etiology* / Q000628:therapy; D002968:Clavicle / Q000293:injuries; D003131:Combined Modality Therapy; D004322:Drainage; D004750:Enteral Nutrition; D005260:Female; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D009104:Multiple Trauma / Q000601:surgery; D010996:Pleural Effusion / Q000601:surgery; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D013350:Subclavian Vein / Q000293:injuries*