Wednesday, October 4, 2023

CVC in previous pneumonectomy

Scenario: 57 year old male with previous history of Right pneumonectomy requires central venous line. Which would be your site of choice? (select one)

A) Left Internal Jugular 
B) Left Subclavian
C) Right Femoral


Answer: C

 Any site except left internal jugular (L-IJ) or left subclavian (L-SC) should be OK.

Patient already has Right pneumonectomy and if develops pneumothorax on left side, would be dead without any lungs - see CXR below.



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