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中心静脉置管干预的一种罕见并发症:硬膜下积液。

A Rare Complication of Central Venous Catheterization Interventions: Subdural Effusion.

作者信息

Misirlioglu Merve, Horoz Ozden Ozgur, Yildizdas Dincer, Ekinci Faruk, Yontem Ahmet, Pehlivan Umur Anil

机构信息

Department of Pediatric Intensive Care, Cukurova University Faculty of Medicine, Adana, Turkey.

Department of Radiology, Cukurova University Faculty of Medicine, Adana, Turkey.

出版信息

Indian J Crit Care Med. 2022 Mar;26(3):384-386. doi: 10.5005/jp-journals-10071-24132.

DOI:10.5005/jp-journals-10071-24132
PMID:35519924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9015927/
Abstract

UNLABELLED

Central venous catheterization interventions are used in various clinics for diagnostic and treatment purposes. Establishing vascular access is a difficult and critical step, especially in critically ill pediatric patients. Complications include ventricular arrhythmia, air embolism, carotid artery puncture, cardiac tamponade, pneumothorax, hemothorax, artery-vein laceration, thoracic duct injury, and catheter malposition can be observed in patients after central venous catheterization interventions. In this case report, a pediatric case was discussed, in which a central venous catheter was inserted without the usage of imaging methods and without confirming the location and was used, even though no blood return was obtained. It was aimed to draw attention to subdural effusions and spinal canal interventions, which is a rare complication of central venous catheterization interventions.

HOW TO CITE THIS ARTICLE

Misirlioglu M, Horoz OO, Yildizdas D, Ekinci F, Yontem A, Pehlivan UA. A Rare Complication of Central Venous Catheterization Interventions: Subdural Effusion. Indian J Crit Care Med 2022;26(3):384-386.

摘要

未标注

中心静脉置管干预在各类临床中用于诊断和治疗目的。建立血管通路是一个困难且关键的步骤,尤其是在危重症儿科患者中。并发症包括室性心律失常、空气栓塞、颈动脉穿刺、心脏压塞、气胸、血胸、动静脉撕裂、胸导管损伤,并且在中心静脉置管干预后的患者中可观察到导管位置不当。在本病例报告中,讨论了一例儿科病例,其中在未使用成像方法且未确认位置的情况下插入了中心静脉导管,即便未获得回血仍使用了该导管。旨在引起对硬膜下积液和椎管干预的关注,这是中心静脉置管干预的一种罕见并发症。

如何引用本文

米西里奥卢 M,霍罗兹 OO,伊尔迪兹达斯 D,埃金奇 F,扬特姆 A,佩利万 UA。中心静脉置管干预的一种罕见并发症:硬膜下积液。《印度重症监护医学杂志》2022;26(3):384 - 386。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6424/9015927/1f2c41efa9b2/ijccm-26-384-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6424/9015927/ad7ee4c06397/ijccm-26-384-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6424/9015927/1f2c41efa9b2/ijccm-26-384-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6424/9015927/ad7ee4c06397/ijccm-26-384-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6424/9015927/1f2c41efa9b2/ijccm-26-384-f001.jpg

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本文引用的文献

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Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access.中心静脉通路操作指南:美国麻醉医师协会中心静脉通路特别工作组报告
Anesthesiology. 2012 Mar;116(3):539-73. doi: 10.1097/ALN.0b013e31823c9569.
2
Ultrasound detection of guidewire position during central venous catheterization.超声引导下中心静脉置管时导丝位置的检测。
Am J Emerg Med. 2010 Jan;28(1):82-4. doi: 10.1016/j.ajem.2008.09.019.
3
Success of ultrasound-guided peripheral intravenous access with skin marking.
超声引导下经皮肤标记进行外周静脉穿刺的成功案例。
Acad Emerg Med. 2008 Aug;15(8):723-30. doi: 10.1111/j.1553-2712.2008.00174.x. Epub 2008 Jul 11.
4
Mechanical complications of central venous catheters.中心静脉导管的机械性并发症
J Intensive Care Med. 2006 Jan-Feb;21(1):40-6. doi: 10.1177/0885066605280884.
5
Inadvertent intrathecal cannulation in an infant, demonstrated by three-dimensional computed tomography: a rare complication of internal jugular vein catheterization.三维计算机断层扫描显示婴儿意外鞘内插管:颈内静脉置管的一种罕见并发症。
J Anesth. 2006;20(2):122-5. doi: 10.1007/s00540-005-0383-4.
6
Internal jugular vein and anatomic relationship at the root of the neck.颈内静脉及颈部根部的解剖关系。
Anesth Analg. 2003 May;96(5):1540-1541. doi: 10.1213/01.ANE.0000072448.11064.D8.
7
Preventing complications of central venous catheterization.预防中心静脉置管的并发症。
N Engl J Med. 2003 Mar 20;348(12):1123-33. doi: 10.1056/NEJMra011883.
8
Complications of central venous catheters: internal jugular versus subclavian access--a systematic review.中心静脉导管的并发症:颈内静脉与锁骨下静脉置管——一项系统评价
Crit Care Med. 2002 Feb;30(2):454-60. doi: 10.1097/00003246-200202000-00031.
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Potentially lethal complications of central venous catheter placement.中心静脉导管置入的潜在致命并发症。
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10
Cannulation of the cervical epidural venous plexus: a rare complication of retrograde internal jugular vein catheterization.颈段硬膜外静脉丛置管:逆行颈内静脉置管的一种罕见并发症。
Anesthesiology. 1999 Jan;90(1):308-11. doi: 10.1097/00000542-199901000-00039.