Gozubuyuk Ezgi, Buget Mehmet I, Akgul Turgut, Altun Demet, Kuçukay Suleyman
From the Departments of *Anesthesiology and †Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
A A Case Rep. 2017 Oct 1;9(7):207-211. doi: 10.1213/XAA.0000000000000566.
We documented brachial plexus injury by electromyography and magnetic resonance imaging secondary to needle sticks for central line insertion. This type of complication is rare in the literature, as few case reports exist. Brachial plexus injury can happen because of anatomic variations. Nevertheless, multiple attempts or introducer needle rotations should be avoided during subclavian vein catheterization. Pain that emerges in the ipsilateral arm after subclavian catheter placement should be taken into serious consideration. It is important to identify the cause of pain as soon as possible so that the correct treatment can be efficiently provided. Use of an ultrasound-guided catheterization may be a better choice for preventing complications.
我们通过肌电图和磁共振成像记录了因中心静脉置管时针刺导致的臂丛神经损伤。这类并发症在文献中较为罕见，仅有少数病例报告。臂丛神经损伤可能因解剖变异而发生。尽管如此，锁骨下静脉置管时应避免多次尝试或旋转引导针。锁骨下静脉置管后同侧手臂出现的疼痛应予以高度重视。尽快确定疼痛原因以便能有效提供正确治疗至关重要。使用超声引导下置管可能是预防并发症的更佳选择。
