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首页> 外文期刊>European Journal of General Medicine >MISPLACEMENTS OF CENTRAL VENOUS CATHETERS: INTERNAL JUGULAR VERSUS SUBCLAVIAN ACCESS IN CRITICAL CARE PATIENTS
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MISPLACEMENTS OF CENTRAL VENOUS CATHETERS: INTERNAL JUGULAR VERSUS SUBCLAVIAN ACCESS IN CRITICAL CARE PATIENTS

机译：中心静脉导管的错位：重症监护患者的颈内静脉对锁骨下腔入路

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Aim; In central venous catheterization (CVC), misplacement is not a rare complication since this is a blinded procedure. The aim of this study was to compare the misplacement risks of the access of internal jugular vein with that of subclavian vein catheterizations. Methods; The records of a total of 1092 patients in whom central venous catheters were placed between 2002 and 2006 in Anesthesiology Intensive Care Unit and the location of the tips was confirmed radiologically were retrospectively evaluated. Neck and infraclavicular region were cleaned by antiseptic solution after routine monitorization. CVC were easily inserted with Seldinger’s technique after blood aspiration through internal jugular vein or subclavian vein. Results; In adult patients, six internal jugular catheter misplacements were seen (0.80%); among them five were kinking and one was intrapleural location of the catheter tip. Six subclavian misplacements (2.02 %) were detected, five of them were located in contralateral subclavian vein, and one was located in ipsilateral internal jugular vein. In children, two subclavian misplacements were seen as crossing to contraleteral subclavian vein, and there were no internal jugular misplacement. There was no statistically difference for misplacement between the access sites (in adult p= 0.110, in children p=0.501). Conclusion; We have concluded that experience of operator should be taken into account for choice of catheterization site.
机译：目标;在中心静脉导管插入术（CVC）中，错位并不是罕见的并发症，因为这是盲法。这项研究的目的是比较颈内静脉和锁骨下静脉置管的错位风险。方法;回顾性评估了2002年至2006年间在麻醉学重症监护室放置了中心静脉导管的1092名患者的记录，并通过放射学证实了尖端的位置。常规监测后，用消毒液清洁颈部和锁骨下区域。在通过颈内静脉或锁骨下静脉抽吸血液后，很容易用Seldinger的技术插入CVC。结果;在成年患者中，发现六个颈内导管错位（0.80％）;其中五个是扭结，一个是导管尖端的胸膜内位置。检测到6个锁骨下错位（2.02％），其中5个位于对侧锁骨下静脉，一个位于同侧颈内静脉。在儿童中，两个锁骨下错位被认为是交叉穿过阴道的锁骨下静脉，并且没有颈内错位。进入部位之间的错位没有统计学差异（成人p = 0.110，儿童p = 0.501）。结论;我们得出的结论是，在选择导管插入部位时应考虑操作者的经验。

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