Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
Vol. 14, No. 4, 2010, pp. 202-204
Bioline Code: cm10045
Full paper language: English
Document type: Case Report
Document available free of charge
Indian Journal of Critical Care Medicine, Vol. 14, No. 4, 2010, pp. 202-204
© Copyright 2010 Indian Journal of Critical Care Medicine.
Fatal airway obstruction following arterial trauma during internal jugular venous cannulation|
Williams, Aparna; Mathai, Ashu S.; Bhatia, Gaurav & Abraham, John
Central venous cannulations are commonly performed in the intensive care unit. However, these may be associated with severe mechanical or bleeding complications. Here, we describe a patient who died following severe and rapid airway obstruction secondary to an arterial trauma during internal jugular vein cannulation. This case report highlights the importance of prompt recognition of arterial trauma so that it can be repaired surgically instead of sheath removal. The prompt diagnosis of an impending airway obstruction and obtaining early airway access cannot be overemphasized. Finally, we discuss the risk factors associated with this complication and what we could have possibly done to prevent this outcome.
Airway obstruction, arterial trauma, internal jugular venous cannulation
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