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Fatal cardiac perforation caused by the dilator of a central venous catheterization kit
M R Mitchell1, D G Wood, M Naraghi
1Department of Anesthesiology, Louisiana State Medical Center, New Orleans 70140.
Journal of Clinical Monitoring
|September 1, 1993
Abstract:
We report a case of cardiac perforation and tamponade caused by the dilator of a central venous catheterization kit. Standards for dilator manufacture and guidelines for safe use of these instruments are suggested.