title: Right internal jugular venous cannulation complicated by tension hydrothorax.
abstract: Central Venous Catheter (CVC) is a common procedure performed in patients' management, especially the critically ill ones. CVC has been used as main access in patients requiring large amount of fluid resuscitation, total parenteral nutrition or measuring the central venous pressure. Although most complications associated with central venous cannulation are minimal, local and easy to control, others may be critical and rapidly fatal if not recognized and treated immediately. One of the most serious incidents that can occur post CVC placement is delayed hydrothorax. It usually results from migration and perforation of the catheter through the SVC wall. In this report, we describe a case of tension hydrothorax that occurred a few hours after placement of CVC in the right internal jugular vein. In acutely ill patients that are already unstable, making the diagnosis of tension hydrothorax secondary to CVC placement requires high level of suspicion. Prompt pleural effusion drainage like in our case is crucial for favorable outcome.
authors.affiliation: Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA. rabeeh_maroun@yahoo.com
authors.forename: Rabih
authors.initials: R
authors.lastname: Maroun
authors.forename: Michel
authors.initials: M
authors.lastname: Chalhoub
authors.forename: Kassem
authors.initials: K
authors.lastname: Harris
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D007601:Jugular Veins / Q000000981:diagnostic imaging; D008875:Middle Aged; D011859:Radiography
keywords: Central venous cannulation; Hydrothorax; Tension