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

CASE REPORT

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: 00-10-2010

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


Abstract

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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