Question 112 · LEK · Vascular access

Dyspnea, tachycardia and cough suddenly appeared in the patient while the central venous catheter was being inserted to the subclavian artery. Which of the following is a probable cause of these symptoms?

  1. A. pneumothorax on the side of the insertion.
  2. B. irritation of the diaphragmatic nerve.
  3. C. irritation of the recurrent laryngeal nerve.
  4. D. damage to the brachial plexus.
  5. E. puncture of the subclavian artery and a hematoma.
Hint

Consider which structure lies directly beneath the subclavian vessels and what happens if the needle reaches it.

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