Luo Chiao-Fen, Mao Chih-Chieh, Su Bai-Chuan, Yu Huang-Ping
Department of Anesthesiology, Chang Gung Memorial Hospital, Taoyuan, Taiwan, Republic of China.
Acta Anaesthesiol Taiwan. 2010 Sep;48(3):145-7. doi: 10.1016/S1875-4597(10)60047-1.
Here, we report a potentially serious iatrogenic complication of arterial cannulation, and discuss the management and prevention of accidental arterial cannula transection. A 73-year-old man suffered from accidental cannula transection after removal of a radial arterial cannula. Three-dimensional computed tomography was used to confirm and locate the retained catheter. Surgical exploration was performed to remove the retained catheter, and the operation was completed smoothly without residual sequelae. Iatrogenic transection of arterial cannula is rarely reported. However, we should always be aware of the possibility of occurrence of this severe complication. We provide some recommendations for its management and ways to prevent its occurrence.
在此,我们报告一例动脉插管可能导致的严重医源性并发症,并讨论意外动脉插管横断的处理及预防。一名73岁男性在桡动脉插管拔除后发生意外插管横断。采用三维计算机断层扫描来确认并定位残留导管。进行手术探查以取出残留导管,手术顺利完成,无残留后遗症。医源性动脉插管横断鲜有报道。然而,我们应始终意识到这种严重并发症发生的可能性。我们提供了一些关于其处理的建议以及预防其发生的方法。