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Related Experiment Videos

Delayed pneumothorax after subclavian vein catheterization.

W J Plaus1

  • 1Department of Surgery, Rose Medical Center, Denver, Colorado 80220.

JPEN. Journal of Parenteral and Enteral Nutrition
|July 1, 1990
PubMed
Summary

Subclavian venipuncture can cause pneumothorax, including delayed cases diagnosed days later. This finding may impact routine chest X-rays after the procedure.

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Area of Science:

  • Medical Procedures
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • Subclavian venipuncture is a common medical procedure.
  • Pneumothorax is a known complication of central venous catheterization.
  • Delayed pneumothorax is an under-recognized complication.

Purpose of the Study:

  • To determine the incidence of delayed pneumothorax after subclavian venipuncture.
  • To analyze factors associated with delayed pneumothorax.
  • To evaluate the diagnostic protocol for pneumothorax following subclavian venipuncture.

Main Methods:

  • Retrospective study of 114 patients undergoing 121 subclavian venipunctures.
  • Review of medical records and radiographic findings.
  • Analysis of complication rates and treatment requirements.

Main Results:

  • Eight pneumothoraces (6.6%) occurred, with five classified as delayed (8-96 hours post-procedure).
  • Delayed pneumothorax was more frequent with large catheters or distorted anatomy.
  • Delayed pneumothorax required more frequent tube thoracostomy compared to immediate pneumothorax.

Conclusions:

  • Delayed pneumothorax is an important complication of subclavian venipuncture.
  • The incidence of delayed pneumothorax may question the routine use of immediate post-procedure chest X-rays.
  • Alternative diagnostic strategies should be considered to optimize patient care and resource utilization.

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