Vazquez R M, Brodski E G
Acta Anaesthesiol Scand Suppl. 1985;81:22-6. doi: 10.1111/j.1399-6576.1985.tb02318.x.
We reviewed our experience with the percutaneous insertion of 459 silicone central venous catheters from 1979 to 1984. Special attention was given to the complication of malposition of these catheters. From 1981-1984, 116 consecutive percutaneous silicone central venous catheters (CVC) were inserted using the peel away sheath introducer. There were no primary catheter malpositions using this technique; however, secondary malposition occurred with 6% of the catheters. In addition to the use of this technique, patient response to movement of the guidewire during the catheterization procedure is described. The details of catheter insertion technique which permit operative assessment of the correctness of catheter location are presented. Symptoms and signs of secondary catheter malposition, as well as management required for this problem, are discussed.
我们回顾了1979年至1984年间经皮插入459根硅胶中心静脉导管的经验。特别关注了这些导管位置不当的并发症。1981年至1984年期间，使用可剥离鞘导入器连续插入了116根经皮硅胶中心静脉导管（CVC）。使用该技术未出现原发性导管位置不当的情况；然而，6%的导管出现了继发性位置不当。除了使用该技术外，还描述了患者在插管过程中对导丝移动的反应。介绍了允许对导管位置正确性进行手术评估的导管插入技术细节。讨论了继发性导管位置不当的症状和体征以及该问题所需的处理方法。
