Konichezky S, Saguib S, Soroker D
Anaesthesia. 1983 Jun;38(6):572-4. doi: 10.1111/j.1365-2044.1983.tb12117.x.
We report two cases in which tracheal puncture (diagnosed by puncture of the orotracheal tube cuff) followed internal jugular vein cannulation by the posterior approach. This complication is only likely to occur when using posterior approach and it may be followed by potentially dangerous subcutaneous emphysema, pneumomediastinum or air trapping between the chest wall and the pleura. This has led us to believe that the posterior approach should be substituted by the alternative central or anterior approach whenever it is possible.
我们报告了两例病例，其中在经后路进行颈内静脉插管后发生了气管穿刺（通过口气管导管套囊穿刺诊断）。这种并发症仅在使用后路时可能发生，并且可能随后出现潜在危险的皮下气肿、纵隔气肿或胸壁与胸膜之间的空气潴留。这使我们认为，只要有可能，后路应被替代的中心或前路所取代。
