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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Clinics in diagnostic imaging (12). Iatrogenic pneumothorax
1Department of Anaesthesiology, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Singapore Medical Journal
|April 1, 1996
Summary
A patient developed a pneumothorax during central venous catheterization, which was successfully treated. This case highlights the risks of iatrogenic pneumothorax during anesthesia.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Critical Care Medicine
Background:
- Central venous catheterization is a common procedure in critical care.
- Iatrogenic pneumothorax is a known complication of central venous catheterization.
- Anesthesia induction can unmask pre-existing or developing pneumothorax.
Observation:
- A 28-year-old male sustained fractures requiring central venous catheterization.
- Multiple internal jugular catheterization attempts led to an undetected pneumothorax.
- Pneumothorax became clinically evident during general anesthesia induction.
Findings:
- Prompt treatment of the iatrogenic pneumothorax was successful.
- The patient recovered well following surgical repair of fractures.
- Anesthetically-related iatrogenic pneumothorax requires careful consideration.
Implications:
- Highlights the importance of vigilance for pneumothorax during central venous catheterization.
- Emphasizes prompt recognition and management of iatrogenic pneumothorax in anesthesia.
- Underscores the need for awareness of potential complications in trauma patients undergoing procedures.
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