Effraction péricardique lors de la pose d’une voie veineuse centrale chez un nourrisson. Intérêt de l’opacification et du contrôle radiologique systématique

Autor: M. DeQueiroz, D. Chassard, O. Rhondali, M. Berend
Rok vydání: 2011
Předmět:
Zdroj: Annales Françaises d'Anesthésie et de Réanimation. 30:746-748
ISSN: 0750-7658
DOI: 10.1016/j.annfar.2011.05.007
Popis: Development of ultrasound in the operating room has improved the safety of patients requiring the placement of a central venous line in children. However, the risk of venous or myocardial perforation related to the use of guidewires or inappropriate dilators persists despite the use of ultrasound. We report the case of a pericardial puncture after central venous catheterization in an infant of three months. Immediate diagnosis and rapid treatment led to a favorable outcome. We believe chest radiography and systematic opacification are mandatory before fluid administration through the catheter, in order to reduce residual risk of serious complication.
Databáze: OpenAIRE