在资源紧张的医疗体系中实现安全的中心静脉置管
Safe Central Venous Access in an Overburdened Health System.
机构信息
Division of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
出版信息
JAMA. 2021 Jan 19;325(3):299-300. doi: 10.1001/jama.2020.20361.
Abstract
A previously healthy man, intubated in the intensive care unit (ICU) for respiratory failure due to coronavirus disease 2019 (COVID-19), required central venous access for vasopressor infusion. The intensivists were occupied managing other critically ill patients, so an available intern attempted to place a triple-lumen catheter in the right internal jugular vein using only anatomic landmarks for guidance. When the access needle was inserted, pulsatile return of blood was noted.
摘要
一位先前身体健康的男性，因 2019 冠状病毒病（COVID-19）导致呼吸衰竭而在重症监护病房（ICU）插管，需要中心静脉通路进行升压药输注。由于重症监护医生忙于管理其他重症患者，因此一名有空的住院医师试图仅使用解剖学标志在右颈内静脉中放置三腔导管。当插入接入针时，注意到有搏动性回血。
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