| Autor: |
Tomoyose, Takeaki, Oyakawa, Yukinobu, Sato, Shikou, Masuzaki, Hiroaki, Internal Medicine, Okinawa Red cross Hospital, Bone Marrow Transplantation Center, Hospital, University of the Ryukyus, Graduate School of Medicine, University of the Ryukyus Internal Medicine, Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology |
| Jazyk: |
japonština |
| Rok vydání: |
2011 |
| Předmět: |
|
| Zdroj: |
琉球医学会誌 = Ryukyu Medical Journal. 30(1-4):47-48 |
| ISSN: |
1346-888X |
| Popis: |
The use of ultrasound for assisting central vein catheterization is a useful technique. Landmark technique has been also used in central vein catheterization, but we should keep in mind that both techniques may induce peculiar complications. A central vein catheter was inserted into the right axillary vein of a 61-year-old woman with acute myeloid leukemia by real-time ultrasound-guided technique. Because she was morbidly obese (body mass index, 36.8 mg/m^2), the distance from skin to the vessel was as high as 5 cm. Radiographic examination clearly showed the malposition of the central vein catheter: it was found in the right basilic vein, not in the superior vena cava. The cause of malposition would have been related to operator's inexperience, but equivalently to bevel-up puncture for ultrasound visualization. It is important to note that, when performing axillary vein catheterization in patients with morbidly obese, the occurrence of malposition is higher using ultrasound-guided technique than using landmark technique. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
