Death due to haemopnemothorax follwing CVC insertion

Record number: 
764
Adverse Occurrence type: 
MPHO Type: 
Estimated frequency: 
rare
Alerting signals, symptoms, evidence of occurrence: 
Chest pain,shortness of breath and cardiac arrest following CVC insertion
Demonstration of imputability or root cause: 
Definite. CVC caused haemopneumothorax.
Imputability grade: 
3 Definite/Certain/Proven
Suggest references: 
AAA