Following cannulation of right subclavian vein, patient developed respiratory distress. His blood pressure dropped to 100/55 & heart rate increased to 140 bpm. He also had diminished air entry towards right side of chest & hyperresonant note on percussion. Probable diagnosis would be-(AIPG 2012)
PNEUMOTHORAXIS often cited as most common complication of subclavian central venous cannulation
Appearance- 4 to 6 hrs after subclavian central vein cannulation
Clinical feature- decreased saturation
Decreased blood pressure
Decreased air entry in hemithorax.