Videothoracoscopic management of a perforated central vein and pleura after ultrasound-guided internal jugular vein cannulation -a case report-

被引：4

作者：

Kim, Jeong-Eun ^{[1
]}

Jeon, Joon-Pyo ^{[1
]}

Kim, Yongsuk ^{[1
]}

Jeong, Su Ah ^{[1
]}

Moon, Young-Eun ^{[1
]}

机构：

[1] Catholic Univ Korea, Seoul St Marys Hosp, Coll Med, Dept Anesthesiol & Pain Med, 505 Banpo Dong, Seoul 137701, South Korea

来源：

KOREAN JOURNAL OF ANESTHESIOLOGY | 2014年 / 66卷 / 04期

关键词：

Central venous catheterization; Ultrasound; Video-assisted thoracoscopic surgery;

D O I：

10.4097/kjae.2014.66.4.306

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A 23-year-old male underwent a left internal jugular vein catheterization during extended surgery for treatment of multiple fractures due to a traffic accident. Although the catheterization was performed under ultrasound (US) guidance, iatrogenic perforation of the central vein and pleura occurred. The catheter was removed, and the perforated site was addressed under thoracoscopy rather than an open thoracotomy. This case suggests that using US does not completely guarantee a complication-free outcome, and that catheter placement should be carefully confirmed. In addition, this case suggests that thoracoscopy may be an ideal method of resolving a perforation of the central vein and pleura.

引用

页码：306 / 309

页数：4

共 12 条

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