Kesman Russell A, Mehollin-Ray Amy R, Lantin-Hermoso Regina, Colquitt John, Fernandes Caraciolo J, Premkumar Muralidhar H
Division of Cardiac Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
E. B. Singleton Department of Radiology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
J Vasc Access. 2022 Jul;23(4):624-627. doi: 10.1177/11297298211000871. Epub 2021 Mar 12.
Central venous access, a common and essential component of the care of the critically ill neonate, is associated with complications such as infection, thrombosis, and bleeding. Unintentional arterial cannulation of a venous catheter is a rare but potentially dangerous complication. In the report, we describe the accidental cannulation of an artery with an epicutaneo-caval catheter in an extremely low birth weight infant. We discuss the physical and radiological findings that raise the suspicion of an arterial placement of a catheter, the diagnostic tools to confirm the misplacement, the potential complications, and strategies to prevent it.
中心静脉通路是危重新生儿护理中常见且必不可少的组成部分，但会引发感染、血栓形成和出血等并发症。静脉导管意外插入动脉是一种罕见但可能危险的并发症。在本报告中，我们描述了一名极低出生体重儿使用经皮腔静脉导管意外插入动脉的情况。我们讨论了提示怀疑导管误入动脉的体格检查和影像学表现、确认误置的诊断工具、潜在并发症以及预防策略。
