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Updated: Aug 16, 2026
06:42
Subclavian Vein Puncture As an Alternative Method of Blood Sample Collection in Rats
Published on: November 18, 2018
[Thoracic internal bleeding following subclavian puncture in a child]
Der Anaesthesist
|October 1, 1984
Summary
A pediatric patient experienced severe bleeding after an attempted subclavian vein puncture. This case highlights the risks of using adult equipment in children and successful management of the resulting hematothorax.
Area of Science:
- Vascular surgery
- Pediatric critical care
- Interventional radiology
Background:
- Subclavian vein catheterization is a common procedure in pediatric critical care.
- Complications, though rare, can be serious, especially when using inappropriate equipment.
- Accurate anatomical knowledge and appropriate device selection are crucial for patient safety.
Observation:
- A four-year-old female patient underwent an attempted subclavian vein puncture using an adult-sized catheter.
- The procedure resulted in an unsuccessful venous access.
- The patient subsequently developed a unilateral hematothorax with significant hemorrhage.
Findings:
- Massive bleeding originated from the right internal thoracic artery.
- The complication was successfully managed through prompt medical intervention.
- This case underscores the potential for severe hemorrhage following central venous access attempts.
Implications:
- Emphasizes the critical need for pediatric-appropriate equipment during central venous catheterization in children.
- Highlights the importance of recognizing and managing delayed complications like massive hemorrhage.
- Suggests a review of protocols for central venous access in pediatric populations to minimize risks.
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