在中心静脉置管过程中克服扭结的可剥离鞘管问题。

Overcoming a kinked peel-away sheath during central line implantation.

作者信息

Atkinson J B, Chamberlin K L, de Csepel J, Srikanth M

机构信息

Division of Pediatric Surgery, Children's Hospital of Los Angeles, CA 90027.

出版信息

J Pediatr Surg. 1994 Mar;29(3):379-80. doi: 10.1016/0022-3468(94)90571-1.

DOI:10.1016/0022-3468(94)90571-1

PMID:8201501

Abstract

In pediatric patients, central line implantation via the subclavian vein can be complicated by the presence of a kink in the peel-away sheath. A technique is described, which has been used on 62 occasions to overcome this problem. Reinserting the catheter through the kinked peel-away sheath in concert with a guidewire that extends 3 to 4 cm beyond the catheter tip can ensure successful placement.

摘要

在儿科患者中，经锁骨下静脉进行中心静脉置管时，可因可剥离鞘管出现扭结而变得复杂。本文描述了一种已应用62次的技术来克服这一问题。将导管与一根超出导管尖端3至4厘米的导丝一起通过扭结的可剥离鞘管重新插入，可确保成功置管。