Bilateral Pleural Effusion: An Unexpected Complication after Right Subclavian Venous Catheterization for Total Parenteral Nutrition
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 1
Abstract
Bilateral pleural effusion occurred after total parenteral nutrition was administered via a right subclavian venous line. The most likely explanation for the fluid passage into both pleural cavities was migration of the tip of the catheter from within the vein into the mediastinum. Fluid can pass into both pleural cavities via anatomical communications, yet to be described, which exist between the two pleural cavities1 Central venous catheterization can cause various complications, which are on the whole simple to explain with our current knowledge of anatomy. This case report, however, describes a complication occurring after subclavian venous catheterization, which is difficult to explain with our current knowledge of anatomy. Reports of ipsilateral pleural effusion following misplacement of a central venous catheter are not unusual. However, communications between the two pleural cavities are not known. A similar case of bilateral pleural effusion following a left internal jugular venous cannulation has been reported [1]. A second case of bilateral pleural effusions following an attempted right subclavian venous cannulation has also been reported [2]. No explanation was provided for the complication in either paper.
Authors and Affiliations
Rayees Najib
Keywords
Related Articles
- EP ID EP463079
- DOI 10.21088/ijaa.2349.8471.4117.28
- Views 102
- Downloads 0
Pain on Injection: Comparison between Propofol LCT vs Propofol MCT-LCT
Background and Aims: Propofol is widelyused for induction andmaintenance of anaesthesia. It has the disadvantage of causing sharp pain on injection which can interfere with smooth induction of anaesthesia. The aim of the...
Comparison of Dexmedetomidine with Esmolol as Hypotensive Agents in Elective ENT Surgeries in General Anaesthesia: A Randomized Controlled Trial
Objective: To compare the efficacy of dexmedetomidine as a hypotensive agent with esmolol in elective ENT Surgeries in ASA grade III patients. Methods: This study was a prospective, randomized, double blinded study that...
Reduction in Anaesthetic Requirement and Better Perioperative Hemodynamic by Dexmedetomidine, in Spine Surgery
Aims and Objectives: The present study was conducted to know the efficacy of dexmedetomedine infusion on perioperative hemodynamics and reduction in anesthetic requirement during general anesthesia in spine surgeries. Ma...
Comparative Study of Clonidine and Dexmedetomidine as an Adjuvant to LA for USG Guided Supraclavicular Brachial Plexus Block (SBB)
Background and aims: SBB is the widely used excellent regional anaesthetic technique for upperlimb surgeries. Various LA agents are used for it. They have specific actions regarding time. Various novel adjuvants are used...
Dexmedetomidine as an Anaesthetic Adjuvant in ENT Surgeries
Context: Dexmedetomidine is an alpha 2 receptor agonist with sympatholytic, analgesic and sedative effects. This study was designed to study the anaesthetic sparing effect of dexmedetomidine and to compare the efficacy o...