Bekele Negussie Alula, Abebe Worknehe Agegnehu, Shifa Jemal Zeberga
University of Botswana, Department of Anaesthesia and Critical Care Medicine, Botswana.
University of Botswana, Department of Surgery, Botswana.
Pan Afr Med J. 2017 May 26;27:59. doi: 10.11604/pamj.2017.27.59.9532. eCollection 2017.
Percutaneous Central Venous Catheter (CVC) insertion using internal jugular and Subclavian veins routes is common procedure for all intensive care admitted patients and some patients in the ward as demand arises in central and referral hospitals of Botswana. This is a case report of a patient on whom a third attempt of re-inserting a CVC for fluid and total parenteral nutrition (TPN) was made. X-ray showed that left Subclavian inserted catheter was mis-directed to internal jugular vein of the same side creating discomfort to the patient. Ultra sound is recommended for routine investigation to confirm proper Central venous catheter placement as it can reduce failure, minimize complication and reduce cost of treatment.
在博茨瓦纳的中心医院和转诊医院，经皮穿刺通过颈内静脉和锁骨下静脉途径插入中心静脉导管（CVC）是所有重症监护病房患者以及病房中部分有需求患者的常见操作。本文报告了一例患者，该患者为进行补液和全胃肠外营养（TPN）第三次尝试重新插入CVC。X线显示，经左侧锁骨下静脉插入的导管误插入同侧颈内静脉，给患者带来不适。建议将超声作为常规检查手段以确认中心静脉导管放置正确，因为这可以减少失败率、将并发症降至最低并降低治疗成本。
