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VOLUME 14 , ISSUE 4 ( October, 2010 ) > List of Articles


Fatal airway obstruction following arterial trauma during internal jugular venous cannulation

Aparna Williams, Ashu Mathai, Gaurav Bhatia, John Abraham

Keywords : Airway obstruction, arterial trauma, internal jugular venous cannulation

Citation Information : Williams A, Mathai A, Bhatia G, Abraham J. Fatal airway obstruction following arterial trauma during internal jugular venous cannulation. Indian J Crit Care Med 2010; 14 (4):202-204.

DOI: 10.4103/0972-5229.76085

License: CC BY-ND 3.0

Published Online: 01-10-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Central venous cannulations are commonly performed in the intensive care unit. However, these may be associated with severe mechanical or bleeding complications. Here, we describe a patient who died following severe and rapid airway obstruction secondary to an arterial trauma during internal jugular vein cannulation. This case report highlights the importance of prompt recognition of arterial trauma so that it can be repaired surgically instead of sheath removal. The prompt diagnosis of an impending airway obstruction and obtaining early airway access cannot be overemphasized. Finally, we discuss the risk factors associated with this complication and what we could have possibly done to prevent this outcome.

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  1. Oliver WC Jr, Nuttall GA, Beynen FM, Raimundo HS, Abenstein JP, Arnold JJ. The incidence of artery puncture with central venous cannulation using a modified technique for detection and prevention of arterial cannulation. J Cardiothorac Vasc Anesth 1997;11:851-5.
  2. Lau H, Lin T, Lee Y, Liou W, Tsai S. Delayed airway obstruction secondary to inadvertent arterial puncture during percutaneous central venous cannulation. Acta Anaesthesiol Sin 2001;39:93-6.
  3. Carr M, Jagannath A. Hemopericardium resulting from attempted internal jugular vein catheterization: A case report and review of complications of central venous catheterization. Cardiovasc Intervent Radiol 1986;9:214-8.
  4. Randolph AG, Cook DJ, Gonzales CA, Pribble CG. Ultrasound guidance for placement of central venous catheters: A meta-analysis of the literature. Crit Care Med 1996;24:2053-8.
  5. Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S. Central vein catheterization: Failure and complication rates by three percutaneus approaches. Arch Intern Med 1986;146:259-61.
  6. Reuber M, Dunkley LA, Turton EP, Bell MD, Bamford JM. Stroke after internal jugular venous cannulation. Acta Neurol Scand 2002;105:235-9.
  7. Guilbert MC, Elkouri S, Bracco D, Corriveau MM, Beaudoin N, Dubois M J, et al. Arterial trauma during central venous catheter insertion: Case series, review and proposed algorithm. J Vasc Surg 2008;48:918-25.
  8. Kua JS, Tan IK. Airway obstruction following internal jugular vein cannulation. Anaesthesia 1997;52:776-80.
  9. Jeganath V, McElwaine JG, Stewart P. Ruptured Superior thyroid artery from central vein cannulation: Treatment by coil embolization. Br J Anaesth 2001;87:302-5.
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