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Canadian Journal of Anesthesia, Vol 41, 241-243, Copyright © 1994 by Canadian Anesthesiologists' Society

ARTICLES

Acute airway obstruction following placement of a subclavian Hickman catheter

JF O'Hara Jr, MI Brand and AR Boutros
Division of Anesthesiology, Cleveland Clinic Foundation, Ohio 44195-5001.

The purpose of this case report is to describe the events, intervention, and aetiology which led to acute airway obstruction in an adult patient after the placement of a Hickman catheter. Airway obstruction secondary to superior vena cava obstruction occurred after placement of a subclavian vein Hickman catheter. This was felt to occur, in part, to a narrowed superior vena cava as evident by subclavian venography. It resulted in emergency oral tracheal intubation to relieve airway obstruction. Shortly after removal of the Hickman catheter, the signs of superior vena cava obstruction syndrome resolved and the patient was extubated without incidence. It is concluded that, although rare, the serious complication of acute airway obstruction can occur after placement of a Hickman catheter.


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Copyright © 1994 by the Canadian Anesthesiologists' Society.