Infusion chest
| Classification according to ICD-10 | |
|---|---|
| T80 | Complications after infusion, transfusion, or injection for therapeutic purposes |
| T80.8 | Other complications following infusion, transfusion, or injection for therapeutic purposes |
| ICD-10 online (WHO version 2019) | |
An infusion chest is a pleural effusion that has arisen iatrogenically (as a result of medical intervention) from the unintentional accumulation of an infusion fluid in the pleural cavity .
In addition to the usual infusion liquids ( Ringer's solution , NaCl solution , etc.), these can also be contrast media, for example . The cause of an infusion chest is usually the introduction of the corresponding fluid through a misplaced central venous catheter . Due to the incorrect position of the catheter, the exogenous fluid can escape into the mediastinum and flow into the pleural cavity on one or both sides. In this way, large amounts of fluid can enter the pleural cavity unnoticed, especially when using an infusion pump , causing life-threatening asphyxiacaused by compression of the lungs. For this reason, among other things, an exact clinical and radiological position control of a central venous catheter is absolutely necessary.
The accumulation of fluid can be removed again with little effort by inserting a chest drain ( Bülau drainage ).
Individual evidence
- ↑ RWTH Aachen: Radiological Symptoms of Diseases of the Lung ( Memento from April 23, 2008 in the Internet Archive ), accessed on June 12, 2008.
literature
- J. Schölmerich et al.: Pleurakrankheiten In: Medical Therapy 2005/2006, 2nd edition, Springer Berlin Heidelberg, pp. 1069–73, ISBN 978-3-540-21226-3
Web links
- MeVis Research (X-ray images of an infusion chest)