Successful conservative management with positive end-expiratory pressure for massive haemothorax complicating pacemaker implantation.

Lai, Chao-Han; Chen, Ju-Yi; Wu, Hsuan-yin; Wen, Jih-Sheng; Yang, Yu-Jen · Resuscitation · 2007

case_report · Level V

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Abstract

Haemothorax resulting from injury to a great vessel is a potential complication during transvenous pacemaker implantation that can be caused by perforation by the electrode. If the amount of bleeding is massive, control needs thoracotomy. We report on a 70-year-old man who had a massive haemothorax following transvenous pacemaker implantation. This complication was controlled successfully by using positive end-expiratory pressure (PEEP). We conclude that this simple but reproducible experience may offer effective haemostasis for a massive haemothorax caused by transvenous catheter perforation.

Medical subject headings