导管相关血管穿孔呈现为封闭的光线:经验教训和预防策略
Meenupriya Arasu1, Bhavana Kayarat1, Amit Kumar2
1Anaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
BMJ case reports
|December 4, 2024
概括
中枢静脉导管 (CVC) 的错位可以导致严重的并发症. 这一案例突出显示,在穿孔左臂脑静脉后,CVC尖端迁移到上半中,强调了谨慎的放置和评估.
科学领域:
- 血管外科 血管外科
- 关键护理医学 关键护理医学
- 放射学 放射学是一门学科.
背景情况:
- 中枢静脉导管 (CVC) 在重症监护中是必不可少的,但存在风险.
- 并发症包括错位,迁移和血栓形成,需要谨慎监测.
研究的目的:
- 报告一个罕见的CVC尖端穿孔和迁移病例.
- 强调精确的CVC尖端位置和全面的闭塞诊断评估的重要性.
主要方法:
- 一份病例报告,详细介绍了CVC并发症的临床表现,诊断过程和管理.
- 审查 CVC 封闭和错位的潜在原因.
主要成果:
- 放置在左侧内静脉中的 CVC 经过穿孔左臂脑静脉后迁移到左侧内静脉,沉积在上半中.
- 最初对光线吸收的评估是误导性的,延迟了穿孔的诊断.
结论:
- 当症状出现时,临床医生必须不考虑内心血管中心位置或血管壁支柱的假设.
- 对包括错位在内的所有 CVC 封闭原因进行系统评估,对于早期诊断和患者安全至关重要.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
44
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
44
Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
Esophageal Perforation-I: Introduction
68
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
68
Endocarditis IV: Nursing Management
1
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
1
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
101
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
101


