Delayed Airway Obstruction after Internal Jugular Venous Catheterization in a Patient with Anticoagulant Therapy

Delayed onset of neck hematoma following central venous catheterization without arterial puncture is uncommon. Herein, we present a patient who developed a delayed neck hematoma after repeated attempts at right internal jugular venous puncture and subsequent enoxaparin administration. Progressive ai...

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Main Authors: Pei-Ju Wu, Siu-Wah Chau, I-Cheng Lu, Hung-Te Hsu, Kuang-I Cheng
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2011/359867
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author Pei-Ju Wu
Siu-Wah Chau
I-Cheng Lu
Hung-Te Hsu
Kuang-I Cheng
author_facet Pei-Ju Wu
Siu-Wah Chau
I-Cheng Lu
Hung-Te Hsu
Kuang-I Cheng
author_sort Pei-Ju Wu
collection DOAJ
description Delayed onset of neck hematoma following central venous catheterization without arterial puncture is uncommon. Herein, we present a patient who developed a delayed neck hematoma after repeated attempts at right internal jugular venous puncture and subsequent enoxaparin administration. Progressive airway obstruction occurred on the third day after surgery. Ultrasound examination revealed diffuse hematoma of the right neck, and fibreoptic examination of the airway revealed pharyngeal edema. After emergent surgical removal of the hematoma, the patient was extubated uneventfully.
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institution Kabale University
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language English
publishDate 2011-01-01
publisher Wiley
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series Case Reports in Anesthesiology
spelling doaj-art-95b057f5f3294cdea82a8bdf066497452025-02-03T05:45:14ZengWileyCase Reports in Anesthesiology2090-63822090-63902011-01-01201110.1155/2011/359867359867Delayed Airway Obstruction after Internal Jugular Venous Catheterization in a Patient with Anticoagulant TherapyPei-Ju Wu0Siu-Wah Chau1I-Cheng Lu2Hung-Te Hsu3Kuang-I Cheng4Department of Anesthesiology, Kaohsiung Medical University Hospital, 100, TzYou 1st Road, Kaohsiung 807, TaiwanDepartment of Anesthesiology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung 812, TaiwanDepartment of Anesthesiology, Kaohsiung Medical University Hospital, 100, TzYou 1st Road, Kaohsiung 807, TaiwanDepartment of Anesthesiology, Kaohsiung Medical University Hospital, 100, TzYou 1st Road, Kaohsiung 807, TaiwanDepartment of Anesthesiology, Kaohsiung Medical University Hospital, 100, TzYou 1st Road, Kaohsiung 807, TaiwanDelayed onset of neck hematoma following central venous catheterization without arterial puncture is uncommon. Herein, we present a patient who developed a delayed neck hematoma after repeated attempts at right internal jugular venous puncture and subsequent enoxaparin administration. Progressive airway obstruction occurred on the third day after surgery. Ultrasound examination revealed diffuse hematoma of the right neck, and fibreoptic examination of the airway revealed pharyngeal edema. After emergent surgical removal of the hematoma, the patient was extubated uneventfully.http://dx.doi.org/10.1155/2011/359867
spellingShingle Pei-Ju Wu
Siu-Wah Chau
I-Cheng Lu
Hung-Te Hsu
Kuang-I Cheng
Delayed Airway Obstruction after Internal Jugular Venous Catheterization in a Patient with Anticoagulant Therapy
Case Reports in Anesthesiology
title Delayed Airway Obstruction after Internal Jugular Venous Catheterization in a Patient with Anticoagulant Therapy
title_full Delayed Airway Obstruction after Internal Jugular Venous Catheterization in a Patient with Anticoagulant Therapy
title_fullStr Delayed Airway Obstruction after Internal Jugular Venous Catheterization in a Patient with Anticoagulant Therapy
title_full_unstemmed Delayed Airway Obstruction after Internal Jugular Venous Catheterization in a Patient with Anticoagulant Therapy
title_short Delayed Airway Obstruction after Internal Jugular Venous Catheterization in a Patient with Anticoagulant Therapy
title_sort delayed airway obstruction after internal jugular venous catheterization in a patient with anticoagulant therapy
url http://dx.doi.org/10.1155/2011/359867
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