A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax Article Swipe

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medicine hemothorax hemopneumothorax thoracotomy central venous catheter pneumothorax surgery central venous pressure catheter radiology blood pressure heart rate

Dina Wallin , Alicia Privette , Andre R. Campbell , Julin Tang ·

YOU? · · 2015 · Open Access · · DOI: https://doi.org/10.1155/2015/382624 · OA: W1533339733

Traditional recommendations suggest placement of a subclavian central venous catheter (CVC) ipsilateral to a known pneumothorax to minimize risk of bilateral pneumothorax. We present the case of a 65-year-old male with a right hemopneumothorax who was found to have intrathoracic placement of his right subclavian CVC at thoracotomy despite successful aspiration of blood and transduction of central venous pressure (CVP). We thus recommend extreme caution with the interpretation of CVC placement by blood aspiration and CVP measurement alone in patients with large volume ipsilateral hemothorax.