Rasheed Mohd Asim, Rizvi M Meesam, Sarkar Arindam, Singh Raj Bahadur
Department of Anaesthesiology and Critical Care, Era's Lucknow Medical College, Lucknow, Uttar Pradesh, India.
Anesth Essays Res. 2015 May-Aug;9(2):254-6. doi: 10.4103/0259-1162.153767.
The anesthesiologist is frequently involved in the task of achieving central venous access either for intraoperative uses or postoperative purposes or Intensive Care Unit care. We are usually aware of the common complications of subclavian approach, such as arterial puncture, bleeding, pneumothorax, misplacement in the ipsilateral internal jugular vein (IJV) or contralateral brachiocephalic or subclavian vein. In this case report, we highlight the possibility of malpositioning of central venous cannula inserted through IJV into the anterior extra pleural plane after failed subclavian cannulation attempts.
麻醉医生经常参与为术中使用、术后目的或重症监护病房护理建立中心静脉通路的工作。我们通常知晓锁骨下途径的常见并发症，如动脉穿刺、出血、气胸、误置入同侧颈内静脉（IJV）或对侧头臂静脉或锁骨下静脉。在本病例报告中，我们强调了在锁骨下置管尝试失败后，经颈内静脉插入的中心静脉导管误置于胸膜外前间隙的可能性。
