Emergency Medicine Department, Regions Hospital, Saint Paul, Minnesota.
J Emerg Med. 2021 Feb;60(2):e31-e32. doi: 10.1016/j.jemermed.2020.09.038. Epub 2020 Oct 27.
A "peripheral IJ" is a 2.5-in angiocatheter placed in the internal jugular vein with ultrasound guidance but typically no barrier precautions. Previously published literature has shown safety with none to minimal complications.
This report describes 2 cases of iatrogenic pneumothorax that occurred during this procedure. One was caused by an emergency medicine intern, the other by an experienced faculty member. Both occurred in petite women with low body mass indices. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: It is important to remember that there are risks inherent with using the internal jugular vein for intravenous access. Particular vigilance should be used with patients who are thin.
“外周 IJ”是指在超声引导下将 2.5 英寸的血管鞘管置于颈内静脉中，但通常不采取任何屏障防护措施。先前发表的文献表明该操作具有安全性，并发症极少或无。
本报告描述了 2 例在此过程中发生的医源性气胸。1 例由急诊医学实习医生引起，另 1 例由经验丰富的教员引起。两者均发生在身材矮小、体重指数低的女性中。
为什么急诊医生应该了解这一点？：重要的是要记住，使用颈内静脉进行静脉通路存在固有风险。对于体型较瘦的患者，应特别小心。
