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Vol. 44. Issue 4.
Pages 264 (May 2020)
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Vol. 44. Issue 4.
Pages 264 (May 2020)
Images in Intensive Medicine
DOI: 10.1016/j.medine.2019.05.013
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Tracheal deviation due to hematoma after central venous catheter placement
Desviación traqueal secundaria a hematoma tras colocación de vía central
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Á. Vidal
Corresponding author
anxelavidal@gmail.com

Corresponding author.
, P. Turrión, J.M. Milicua
Médicos Intensivistas de la UVI de la Fundación Jiménez Díaz de Madrid, Spain
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A 72-year-old woman was admitted to our hospital for a scheduled gallbladder carcinoma surgery. A four-lumen central line was placed in the left internal jugular vein with ultrasound-guided technique in the operating theater without incidences.

A postoperative chest X-ray was taken at ICU admission (Fig. 1), which revealed a marked right-displacement of the trachea and an increased density area in the mediastinum, which was identified as a hematoma caused by the catheter placement. None of these findings were present in the preoperative chest X-ray (Fig. 2). A computed tomography and thoracic angiography (Fig. 3) were performed and neither active bleeding nor airway compromise was found. The catheter was removed without complications. One week later chest X-ray showed no alterations.

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Copyright © 2019. Elsevier España, S.L.U. and SEMICYUC
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Medicina Intensiva (English Edition)

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