Pneumomediastinum complicated by subclavian central venous catheterization in a severe thoracic trauma patient

Liang Chih Chen, Chi Tzao, Wen Jinn Liaw, Huei Chi Horng, Chen Hwan Cherng, Chih Shung Wong, Ching Tang Wu

Research output: Contribution to journalArticle

Abstract

Pneumomediastinum is a rare event in subclavian central venous catheterization. However in severe thoracotraumatized patients, such as with bilateral hemopneumothorax, the catherization may be hazardous and made complex by occurrence pneumomediastinum, even the procedure is rightly carried out. We suggest that in such a risky condition, if it is mandatory, it should be carried out in a more placid condition, such as avoidance of high PEEP ventilation, setting lower tidal volume, or brief interruption of positive ventilation, to reduce the likelihood of unperceivable pneumomediastinum.

Original languageEnglish
Pages (from-to)185-188
Number of pages4
JournalActa Anaesthesiologica Taiwanica
Volume45
Issue number3
Publication statusPublished - Sep 2007
Externally publishedYes

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Central Venous Catheterization
Mediastinal Emphysema
Thorax
Ventilation
Wounds and Injuries
Hemopneumothorax
Tidal Volume

Keywords

  • Pneumomediastinum
  • Subclavian central venous catheterization
  • Thoracic trauma

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Medicine(all)

Cite this

Chen, L. C., Tzao, C., Liaw, W. J., Horng, H. C., Cherng, C. H., Wong, C. S., & Wu, C. T. (2007). Pneumomediastinum complicated by subclavian central venous catheterization in a severe thoracic trauma patient. Acta Anaesthesiologica Taiwanica, 45(3), 185-188.

Pneumomediastinum complicated by subclavian central venous catheterization in a severe thoracic trauma patient. / Chen, Liang Chih; Tzao, Chi; Liaw, Wen Jinn; Horng, Huei Chi; Cherng, Chen Hwan; Wong, Chih Shung; Wu, Ching Tang.

In: Acta Anaesthesiologica Taiwanica, Vol. 45, No. 3, 09.2007, p. 185-188.

Research output: Contribution to journalArticle

Chen, LC, Tzao, C, Liaw, WJ, Horng, HC, Cherng, CH, Wong, CS & Wu, CT 2007, 'Pneumomediastinum complicated by subclavian central venous catheterization in a severe thoracic trauma patient', Acta Anaesthesiologica Taiwanica, vol. 45, no. 3, pp. 185-188.
Chen, Liang Chih ; Tzao, Chi ; Liaw, Wen Jinn ; Horng, Huei Chi ; Cherng, Chen Hwan ; Wong, Chih Shung ; Wu, Ching Tang. / Pneumomediastinum complicated by subclavian central venous catheterization in a severe thoracic trauma patient. In: Acta Anaesthesiologica Taiwanica. 2007 ; Vol. 45, No. 3. pp. 185-188.
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