García-Fages L C, Castillo J, Gomar C, Villalonga A, Nalda M A
Service d'Anestheésie et de Réanimation, Hospital Clinic i Provincial, Barcelone, Espagne.
Ann Fr Anesth Reanim. 1990;9(1):93-4. doi: 10.1016/s0750-7658(05)80043-7.
Two cases are reported of brachial plexus anaesthesia and palsy after catheterization of the subclavian vein. This very rare complication occurred after several unsuccessful attempts to catheterize one or both subclavian veins. This was due to inexperience, with insufficient knowledge of clinical anatomy, infiltration with unnecessarily high doses of local anaesthetic, and accidental puncture of the brachial plexus by an infraclavicular approach. One of the patients also had iatrogenic pneumothorax.
报告了两例锁骨下静脉置管后臂丛神经麻醉和麻痹的病例。这种非常罕见的并发症发生在多次尝试对一侧或双侧锁骨下静脉进行置管未成功之后。这是由于经验不足、对临床解剖学知识了解不够、局部麻醉药剂量过高以及锁骨下途径意外穿刺臂丛神经所致。其中一名患者还发生了医源性气胸。
