Inadvertent intrathecal cannulation in an infant, demonstrated by three-dimensional computed tomography: a rare complication of internal jugular vein catheterization.
Inadvertent intrathecal cannulation in an infant, demonstrated by three-dimensional computed tomography: a rare complication of internal jugular vein catheterization.
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DOI：
10.1007/s00540-005-0383-4
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发表时间：
2006-01-01
影响因子：
2.8
通讯作者：
Katsuya, Hirotada
中科院分区：
文献类型：
--
作者：
Fujita, Yoshihito;Sobue, Kazuya;Katsuya, Hirotada
我们描述了一个意外的情况下，鞘内插管与中心静脉导管在婴儿，证实了三维计算机断层扫描，这清楚地表明了轨道的导管。我们认为这种并发症可能与两个主要因素有关：针头插入深度和直头导丝穿透静脉。为了避免这种并发症，必须仔细检查针头插入的深度，应使用“J”型导丝而不是直型导丝，穿刺应在超声引导下进行。
We describe a case of inadvertent intrathecal cannulation with a central venous catheter in an infant, confirmed by three-dimensional computed tomography, which clearly demonstrated the track of the catheter. We believe that this complication could have been related to two major factors: depth of needle insertion and penetration of the vein by a straight-tip guidewire. To avoid this complication, the depth of needle insertion must be carefully checked, a "J"-tipped rather than a straight-tipped guidewire should be used, and puncture should be guided by ultrasound.