TY - JOUR
T1 - Lethal pulmonary air embolism caused by the removal of a double-lumen hemodialysis catheter
AU - Nagai, Hisashi
AU - Maeda, Hideyuki
AU - Kuroda, Ryohei
AU - Komori, Masatomo
AU - Nakajima, Makoto
AU - Nara, Akina
AU - Ito-Tsujimura, Takako
AU - Shintani-Ishida, Kaori
AU - Yahagi, Naoki
AU - Yoshida, Ken Ichi
N1 - Publisher Copyright:
Copyright © 2014 by Lippincott Williams & Wilkins.
PY - 2014
Y1 - 2014
N2 - Pulmonary air embolisms due to the removal of a central venous catheter are rare, but catheter removal is known to be a high risk factor for air embolism. In particular, the removal of a large catheter, such as a double-lumen hemodialysis catheter, can allow a large amount of air to enter into the bloodstream, which often results in sudden death. So, during catheter removal, special care should be taken to prevent air from entering blood vessels, for example, to ensure that the patient's head is tilted downward, that they have inhaled and are holding their breath, and that a covering gauze and inert ointment have been applied to the exit site. We report a lethal case of pulmonary air embolism caused by the removal of a double-lumen catheter from the right internal jugular vein of a patient who was sitting up and had not been instructed to hold their breath.
AB - Pulmonary air embolisms due to the removal of a central venous catheter are rare, but catheter removal is known to be a high risk factor for air embolism. In particular, the removal of a large catheter, such as a double-lumen hemodialysis catheter, can allow a large amount of air to enter into the bloodstream, which often results in sudden death. So, during catheter removal, special care should be taken to prevent air from entering blood vessels, for example, to ensure that the patient's head is tilted downward, that they have inhaled and are holding their breath, and that a covering gauze and inert ointment have been applied to the exit site. We report a lethal case of pulmonary air embolism caused by the removal of a double-lumen catheter from the right internal jugular vein of a patient who was sitting up and had not been instructed to hold their breath.
KW - Air embolism
KW - Central catheter
KW - Double-lumen catheter
KW - Hemodialysis
KW - Pulmonary artery
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U2 - 10.1097/PAF.0b013e318288b1ee
DO - 10.1097/PAF.0b013e318288b1ee
M3 - Article
C2 - 25376711
AN - SCOPUS:84914676833
SN - 0195-7910
VL - 35
SP - 237
EP - 238
JO - American Journal of Forensic Medicine and Pathology
JF - American Journal of Forensic Medicine and Pathology
IS - 4
ER -