Kim Hee Kyung, Choi Ji Won, Lee Jong Hwan, Lee Ae Ryoung
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2009 Oct;57(4):531-534. doi: 10.4097/kjae.2009.57.4.531.
Central venous catheterization has been frequently used in pediatric patients in wide variety of conditions. Several authors have described about various complication of central venous catheterization in pediatric patients and reported complication rates of 3% to 6%. Knotting of guidewire as a complication of central venous catheterization has been reported in adult patients, but knotting of guidewire has not been reported in infants. Therefore we report an infant who experienced a knotting of guidewire during internal jugular vein catheterization which was successfully removed without any adverse events. We suggest that knot formation is possible in infants and there should be a high suspicion if resistance is felt at the time of catheter advancement.
中心静脉置管已被广泛应用于患有各种病症的儿科患者。几位作者描述了儿科患者中心静脉置管的各种并发症，并报告并发症发生率为3%至6%。导丝打结作为中心静脉置管的一种并发症已在成年患者中报道，但在婴儿中尚未见报道。因此，我们报告一例婴儿在颈内静脉置管过程中发生导丝打结，最终成功取出且未出现任何不良事件。我们认为婴儿也可能形成导丝结，如果在导管推进时感觉到阻力，应高度怀疑。
