Late cervical haematoma after canalization of high flow veno-venous catheter

Quevedo Sánchez, B.; Martínez Pérez, A.; Amorós Verdú, C.; Coves Orts, F.J.

doi:10.1016/j.redare.2019.12.002

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(B) Transverse section: laterocervical haematoma. Arrow: extravasation of contrast media." ] ] ] "textoCompleto" => "A 72-year-old man was admitted to the intensive care unit for respiratory failure secondary to myasthenia gravis treated with pyridostigmine, corticosteroids, and immunoglobulins. Given his lack of response, plasmapheresis was initiated. We attempted unsuccessfully to place the high-flow veno-venous catheter in the right jugular vein, but were ultimately successful in canulating the right femoral artery. At 48h, the patient developed a large neck mass displacing the airway, causing hypoxemic respiratory failure that required emergency orotracheal intubation. We performed a cranial CT scan (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) that showed a haematoma measuring 55mm×48mm with contrast media extravasation, suggestive of active bleeding, and a 55mm mm segment of the right jugular vein that could not be identified, probably due to injury. 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Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 67. Issue 4.

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