Inadvertent transpericardial insertion of a central venous line with cardiac tamponade failure of preventive practices
| Autor: | B. Waltl, Heidrun Losert, R. Apsner, Gere Sunder-Plassmann, Manfred Muhm, M. Grabenwöger, R. Prokesch |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Catheterization Central Venous Vena Cava Superior Heart disease business.industry medicine.medical_treatment Intensivist Wounds Penetrating Venous blood Middle Aged Critical Care and Intensive Care Medicine medicine.disease Surgery Cardiac surgery Cardiac Tamponade Radiography Catheter Superior vena cava Cardiac tamponade Anesthesia medicine Humans business Central venous catheter |
| Zdroj: | Intensive care medicine. 26(8) |
| ISSN: | 0342-4642 |
| Popis: | A 56-year-old man who had undergone cardiac surgery suffered from cardiac tamponade after administration of contrast-medium through a central venous catheter. Pericardiotomy showed the catheter transversing the pericardial sac just beneath an unusual high reflection and then reentering the superior vena cava. Preventive practices including chest radiography, confirming free venous blood return and manometry may fail to detect catheter malposition in rare cases. Knowledge of potential pitfalls in using generally recommended safety practices and continuous vigilance are essential for the anesthesiologist and intensivist in avoiding potentially lethal hazards. |
| Databáze: | OpenAIRE |
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