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手术室中的隐藏风险。微电击。

Hidden risk in operating room. Micro-shock.

作者信息

Monies-Chass I, Vilensky A, Mordechowitz B, Birkhahn J

出版信息

Acta Anaesthesiol Belg. 1986;37(1):39-44.

PMID:3705907
Abstract

The risk of electrical micro-shock is recognised in patients undergoing cardiac catheterisation or connected to electronic equipment instruments. The work reported here investigates the possibility of injury by electrical micro-shock when monitoring the central venous pressure as commonly done during surgical procedures. The studies were done on dogs catheterised for the measurement of central venous pressure with the catheter advanced into the right ventricle. It was found that currents less than 500 micro-amperes caused interference with heart rhythm, and in some of the dogs ventricular fibrillation developed. In view of these findings it appears that greater consideration should be given to the risk of electrical micro-shock in patients in whom the central venous pressure is measured.

摘要

接受心导管插入术或连接到电子设备仪器的患者存在微电击风险。本文报道的研究探讨了在外科手术过程中像通常那样监测中心静脉压时发生微电击损伤的可能性。研究是在通过插入导管测量中心静脉压且导管已推进到右心室的狗身上进行的。结果发现,小于500微安的电流会干扰心律,并且在一些狗身上出现了心室颤动。鉴于这些发现,似乎对于测量中心静脉压的患者,应更多地考虑微电击风险。

相似文献

1
Hidden risk in operating room. Micro-shock.手术室中的隐藏风险。微电击。
Acta Anaesthesiol Belg. 1986;37(1):39-44.
2
Electrical safety: fibrillation thresholds with 50 Hz leakage currents in man and animals.电气安全:人与动物体内50Hz泄漏电流的纤颤阈值。
Br Heart J. 1973 Aug;35(8):864.
3
Recurrent iatrogenic ventricular fibrillation. Induced by malpositioned central venous catheter.复发性医源性心室颤动。由中心静脉导管位置不当所致。
N Y State J Med. 1975 Oct;75(12):2244-5.
4
Migration of tips of central venous catheters in seated patients.坐位患者中心静脉导管尖端的移位
Anesth Analg. 1984 Oct;63(10):949-52.
5
Introduction to hemodynamic monitoring.
Nurs Clin North Am. 1987 Mar;22(1):89-110.
6
Perspectives in physiological monitoring.生理监测的视角
Med Instrum. 1976 Mar-Apr;10(2):91-7.
7
[Electrocution in the operating room].[手术室中的触电事故]
Anesth Analg (Paris). 1971 Mar-Apr;28(2):285-92.
8
Nodal rhythm and electronic CVP monitoring.结性心律与电子中心静脉压监测。
Acta Anaesthesiol Belg. 1986;37(1):63-6.
9
Accuracy of central venous pressure monitoring during simultaneous continuous infusion through the same catheter.通过同一导管同时进行持续输注时中心静脉压监测的准确性。
Anaesthesia. 2005 Oct;60(10):1027-30. doi: 10.1111/j.1365-2044.2005.04302.x.
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Catheter perforation of the right ventricle. A complication of endoscopy.右心室导管穿孔。一种内镜检查的并发症。
N Engl J Med. 1974 Apr 18;290(16):890-1. doi: 10.1056/NEJM197404182901607.

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