Odelowo E O, Roux V J
J Natl Med Assoc. 1977 May;69(5):311-3.
Invasive techniques continue to be used in monitoring and treating the critically ill patient in spite of preference for, and increasing use of, non-invasive or minimally invasive techniques. With or without simultaneous determination of left ventricular filling pressure, the central venous pressure (CVP) catheter is widely used for gaining access to the right heart, determining right ventricular filling pressure, and for rapid infusion of fluids or medications. Even in expert hands the insertion of the CVP line is occasionally followed by complications that may require therapeutic interventions of varying degrees of severity. The possible hazards from this simple and often necessary therapeutic adjunct call for a systematic informed-consent approach which is often neglected despite its relevance in today's clinical practice. The data presented are typical of a standard teaching hospital experience. Securing informed consent for CVP catheter insertion is encouraged.
尽管更倾向于使用非侵入性或微创技术且其使用也在增加，但侵入性技术仍继续用于监测和治疗重症患者。无论是否同时测定左心室充盈压，中心静脉压（CVP）导管都广泛用于进入右心、测定右心室充盈压以及快速输注液体或药物。即使在专家操作下，插入CVP导管偶尔也会出现并发症，可能需要不同程度的治疗干预。这种简单且常常必要的治疗辅助手段可能带来的风险需要一种系统的知情同意方法，尽管其在当今临床实践中具有相关性，但却常常被忽视。所呈现的数据是一家标准教学医院的典型经验。鼓励为插入CVP导管获得知情同意。
