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因中心静脉导管误置导致的意外动脉插管和去甲肾上腺素输注

Inadvertent Arterial Cannulation and Norepinephrine Infusion Due to a Misplaced Central Venous Catheter.

作者信息

Al-Shareef Ali S, Darweish Aida, Shirah Bader

机构信息

Department of Emergency Medicine, King Abdulaziz Medical City, Jeddah, SAU.

Research Office, King Abdullah International Medical Research Center, Jeddah, SAU.

出版信息

Cureus. 2021 Sep 6;13(9):e17757. doi: 10.7759/cureus.17757. eCollection 2021 Sep.

DOI:10.7759/cureus.17757
PMID:34659970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8494162/
Abstract

Central venous catheter (CVC) insertion is one of the most common procedures done for critically ill patients. The subclavian vein is the particular preferred site. Misplacement of a CVC via the subclavian vein is frequent and can result in life-threatening complications. We aim to report a rare complication of misplaced CVC in the left subclavian vein and norepinephrine infusion that was associated with right upper limb ischemia. Immediate recognition and intervention are key to prevent further complications. The use of ultrasound has proven to reduce such complication, and the hospital implemented the use of ultrasound prior to any CVC placement.

摘要

中心静脉导管（CVC）置入是危重症患者最常见的操作之一。锁骨下静脉是特别优选的部位。经锁骨下静脉置入CVC位置不当很常见，可导致危及生命的并发症。我们旨在报告一例罕见的并发症，即左锁骨下静脉CVC位置不当并输注去甲肾上腺素，导致右上肢缺血。立即识别和干预是预防进一步并发症的关键。事实证明，使用超声可减少此类并发症，该医院在进行任何CVC置管前均采用了超声引导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbe5/8494162/d887eb768018/cureus-0013-00000017757-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbe5/8494162/3fe93e4ca060/cureus-0013-00000017757-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbe5/8494162/d887eb768018/cureus-0013-00000017757-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbe5/8494162/3fe93e4ca060/cureus-0013-00000017757-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbe5/8494162/d887eb768018/cureus-0013-00000017757-i02.jpg

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Misplaced subclavian central venous catheter.锁骨下中心静脉导管位置不当。
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