Department of Anesthesia, Pain Service, and Critical Care Medicine, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 404, Taiwan, ROC.
J Anesth. 2011 Jun;25(3):462-4. doi: 10.1007/s00540-011-1115-6. Epub 2011 Apr 2.
We report a rare malposition of a central venous catheter in a liver transplantation patient which occurred during an intensive care period. The waveform of central venous pressure was aberrant after connecting the catheter to the pressure kit transducer. It was misplaced into left internal mammary vein confirmed by thoracic computed tomography. Significant engorgement of the left internal mammary vein may have been the cause of this rare malposition.
我们报告了一例肝移植患者在重症监护期间发生的中心静脉导管罕见错位。将导管连接到压力套件换能器后,中心静脉压的波形异常。经胸部计算机断层扫描证实导管错位至左侧内乳静脉。左侧内乳静脉明显充盈可能是导致这种罕见错位的原因。