Skip to main content

Neck haematoma and airway obstruction in a patient with goitre: complication of internal jugular vein cannulation

Buy Article:

$51.00 plus tax (Refund Policy)


Attempted jugular vein cannulation in a patient with a discrete goitre resulted in a rapid growing haematoma and airway obstruction. This life-threatening complication is rare, and is usually related to two conditions: pre-existing coagulopathy and/or arterial puncture by a large bore cannula or vessel dilator. None of these was present in this patient.

Investigations revealed a retrosternal goitre causing tracheal compression and major changes in the calibre and the anatomical relationships of neck vessels. Possible origin and mechanism for the sudden haematoma are discussed, as well as the airway management.

This case clearly illustrates how internal jugular vein cannulation using the traditional blind technique, guided by external landmarks, can be extremely hazardous in patients with distorted anatomy of the neck.

Keywords: Airway obstruction; complications; goitre; haematoma; jugular vein cannulation; ultrasound guided cannulation

Document Type: Research Article


Affiliations: Hospital de Santa Maria, Lisbon, Portugal

Publication date: May 1, 2003


Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more