Hydromediastinum and hydrothorax in the neonate with central vein catheterization

S. Eldar, J. Abrahamson, Andrew Colin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A near fatal complication of central venous catheterization in a newborn infant is reported. Five days after insertion, the catheter tip eroded through the wall of the vein, causing hydromediastinum and hydrothorax with acute circulatory and respiratory distress. The diagnosis was confirmed by noting that the tip of the catheter had become curved downwards, by aspirating slightly blood-stained fluid from the pleural space and by injecting radio-opaque dye through the catheter. Recovery followed removal of the catheter, intercostal drainage, intubation and positive pressure respiration. The erosion of the vein may have been brought about by the location of the catheter tip at the junction of the left subclavian and innominate veins - a less than optimal position. The factors causing this complication are discussed. Recommendations are made about the type of catheter, its appropriate placement and maintenance. The diagnosis and management are surveyed.

Original languageEnglish
Pages (from-to)349-352
Number of pages4
JournalIsrael Journal of Medical Sciences
Volume19
Issue number4
StatePublished - Dec 1 1983
Externally publishedYes

Fingerprint

Central Venous Catheterization
Hydrothorax
Catheters
Veins
Newborn Infant
Brachiocephalic Veins
Subclavian Vein
Positive-Pressure Respiration
Intubation
Drainage
Erosion
Blood
Coloring Agents
Dyes
Maintenance
Recovery
Fluids

ASJC Scopus subject areas

  • Bioengineering
  • Medicine(all)

Cite this

Hydromediastinum and hydrothorax in the neonate with central vein catheterization. / Eldar, S.; Abrahamson, J.; Colin, Andrew.

In: Israel Journal of Medical Sciences, Vol. 19, No. 4, 01.12.1983, p. 349-352.

Research output: Contribution to journalArticle

Eldar, S. ; Abrahamson, J. ; Colin, Andrew. / Hydromediastinum and hydrothorax in the neonate with central vein catheterization. In: Israel Journal of Medical Sciences. 1983 ; Vol. 19, No. 4. pp. 349-352.
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