We describe a case of airway obstruction secondary to a large pre-vertebral cervico-mediastinal haematoma following failed attempts at insertion of an internal jugular central venous line. The need for a high index of suspicion to diagnose this injury and early aggressive intervention to manage it are outlined. The role of ultrasound guidance in preventing such a complication is reviewed, as well as other possible mechanisms of haematoma development.
|Number of pages||5|
|Journal||Anaesthesia and Intensive Care|
|Publication status||Published - Mar 2009|
- Airway obstruction
- Internal jugular cannulation
- Pre-vertebral haematoma