title: Haemothorax: A potentially fatal complication of subclavian cannulation--A case report.
abstract: Central venous cannulation forms one of the mainstays of management of trauma and haemodynamically unstable patients. Frequently this procedure has to be done as an emergency in the emergency department. Ultrasound guidance has been recommended, especially for use by trainee members of the emergency department. We report a case of 44% full thickness burns with subclavian artery puncture due to a misplaced central venous catheter. This led to massive haemothorax, which eventually caused the patient to succumb. We re-emphasise the need for ultrasound guidance for insertion of central venous lines, especially in the emergency setting.
authors.affiliation: Welsh Centre for Burns & Plastic Surgery, Morriston Hospital, Morriston, Swansea SA6 6NL, United Kingdom. kedar_deogao@yahoo.com
authors.forename: K
authors.initials: K
authors.lastname: Deogaonkar
authors.forename: K
authors.initials: K
authors.lastname: Shokrollahi
authors.forename: W A
authors.initials: WA
authors.lastname: Dickson
mesh_terms: D000368:Aged; D002056:Burns / Q000628:therapy*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D017809:Fatal Outcome; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D013348:Subclavian Artery / Q000293:injuries*; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D014463:Ultrasonography