Delayed Right-Sided Hydrothorax after Right-Sided Subclavian Central Line Insertion

Complications associated with central venous catheters (CVC) can be early or delayed, and among them, hydrothorax is a rare one. Inappropriate initial positioning of the catheter, repeated changes in movement patient, improper vigilance may causative factors. We describe 47-year-old man delayed right-sided after subclavian line insertion. He was posted for anterior communicating artery aneurysmal clipping when CVC placed. His intraoperative postoperative periods were uneventful. However, on day two, patient developed labored breathing desaturation to 76% room air, hypotension tachycardia. An urgent chest x-ray ordered showed features suggestive hydrothorax, which improved intercostal drainage. This case report highlights presentation complication its recognition patients diminished consciousness. It also emphasizes optimum site tip need increased by healthcare providers ordering routine x-rays, aspirating from all catheter ports prior administering substances through them.