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血管导管腔之间的连通：安全隐患

Communication Between Vascular Catheter Lumens: Safety Implications.

作者信息

Pruthi Gegal, Dey Ankita, Dhindsa Dilraj

机构信息

Department of Anaesthesiology, AIIMS, Bathinda, Punjab, India.

Department of Cardiothoracic Vascular Surgery, AIIMS, Bathinda, Punjab, India.

出版信息

Ann Card Anaesth. 2025 Apr 1;28(2):179-180. doi: 10.4103/aca.aca_203_24. Epub 2025 Apr 16.

DOI:10.4103/aca.aca_203_24
PMID:40237666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058077/
Abstract

In this case, we report a rare manufacturing defect in a multi-lumen central venous catheter, where communication between lumens was discovered during a pre-use flush check. This defect raises significant safety concerns, including potential medication interference and inaccurate CVP readings. Vigilant pre-use testing and heightened awareness of such anomalies are crucial to preventing life-threatening complications.

摘要

在本病例中，我们报告了一例多腔中心静脉导管罕见的制造缺陷，该缺陷是在使用前冲洗检查时发现腔与腔之间存在连通。这种缺陷引发了重大安全问题，包括潜在的药物相互干扰和中心静脉压读数不准确。使用前进行严格测试并提高对此类异常情况的认识对于预防危及生命的并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f9/12058077/d64209faf33a/ACA-28-179-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f9/12058077/d64209faf33a/ACA-28-179-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f9/12058077/d64209faf33a/ACA-28-179-g001.jpg

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本文引用的文献

1
Practical guide for safe central venous catheterization and management 2017.《2017年安全中心静脉置管与管理实用指南》
J Anesth. 2020 Apr;34(2):167-186. doi: 10.1007/s00540-019-02702-9. Epub 2019 Nov 30.
2
Communication between two channels of central venous catheter: a rare manufacturing defect.中心静脉导管两个通道之间的连通：一种罕见的制造缺陷。
Anesth Analg. 2009 Dec;109(6):2032-3. doi: 10.1213/ANE.0b013e3181bbda87.
3
Communication between channels of a multilumen central venous catheter.多腔中心静脉导管各通道之间的连通情况。
Anaesthesia. 2007 Aug;62(8):861. doi: 10.1111/j.1365-2044.2007.05212.x.
4
Interluminal connection in a failed central venous line.失败的中心静脉导管腔内连接。
Anesth Analg. 1998 Sep;87(3):744-5. doi: 10.1097/00000539-199809000-00057.