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(Chest. 1974;65:457-458.)
© 1974 American College of Chest Physicians

Infraclavicular Subclavian Catheterization: Another Caution

Kevin B. Lake M.D.1; John Rumsfeld M.D., F.C.C.P.1; and John Van Dyke M.D., F.C.C.P.1

1 La Viña Hospital for Respiratory Diseases, Altadena, California

In a large number of infraclavicular subelavian catheterizations, our only complication has been pneumothorax in two patients, both of whom had severe emphysema and were on respirators. The combination of underlying thoracic hyperinflation and being on a respirator may represent additive risk factors for this procedure. Should such catheterization be deemed necessary in these high-risk patients, it is suggested that a chest tube be available for immediate insertion and also that the patient be detached from the respirator while the catheter is being inserted.






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Copyright © 1974 by the American College of Chest Physicians.