title: [Bleeding during central venous catheterization : Cannot intubate, cannot ventilate due to massive cervical hematoma].
abstract: Central venous catheterization is an invasive procedure which can be associated with severe complications. These include in particular unsuccessful arterial puncture and vascular injuries, which in addition to loss of blood can lead to massive soft tissue swelling. A 63-year-old female patient developed massive cervical bleeding during ultrasound-guided internal jugular vein puncture and the rapidly enlarging hematoma led to compromisation of the airway. A cannot intubate, cannot ventilate situation developed and the subsequent hypoxia led to cardiac arrest that was only resolved after emergency surgical tracheotomy during cardiopulmonary resuscitation.
authors: Universitätsklinik für Anästhesiologie und operative Intensivmedizin, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland. christian.engelen@klinikum-nuernberg.de.
authors: C
authors: C
authors: Engelen
authors: Klinik für Anästhesie, RoMed Klinik Prien am Chiemsee, Prien am Chiemsee, Deutschland.
authors: C
authors: C
authors: Trebes
authors: Klinik für Anästhesie, RoMed Klinik Prien am Chiemsee, Prien am Chiemsee, Deutschland.
authors: S
authors: S
authors: Czarnecki
authors: Universitätsklinik für Anästhesiologie und operative Intensivmedizin, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland.
authors: A
authors: A
authors: Junger
mesh_terms: D016887:Cardiopulmonary Resuscitation; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007601:Jugular Veins / Q000293:injuries; D008875:Middle Aged; D061214:Patient Safety; D013352:Subcutaneous Emphysema / Q000209:etiology; D014139:Tracheostomy; D018084:Ultrasonography, Interventional
keywords: Airway management; Catheterization; Jugular veins; Patient safety; Subcutaneous emphysema