Seizures and hemiparesis after subclavian vascular access

被引：0
|
作者：
Scholten, J. G. F. [1 ]
Oostra, E. J. [2 ]
van der Worp, H. B. [3 ]
Spronk, P. E. [4 ]
de Graaff, J. C. [5 ]
机构：
[1] Gelre Hosp Apeldoorn, Dept Anaesthesia, Apeldoorn, Netherlands
[2] Isala Clin Zwolle, Dept Anaesthesia, Zwolle, Netherlands
[3] Univ Med Ctr Utrecht, Rudolf Magnus Inst Neurosci, Dept Neurol, Utrecht, Netherlands
[4] Gelre Hosp Apeldoorn, Dept Intens Care, Apeldoorn, Netherlands
[5] Univ Med Ctr Utrecht, Div Anaesthesia Intens Care & Emergency Med, Dept Anaesthesia, Utrecht, Netherlands
来源：
NETHERLANDS JOURNAL OF CRITICAL CARE | 2014年 / 18卷 / 03期
关键词：
Complication; subclavian; cannulation; central catheter;
D O I：
暂无
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
We present a patient with seizures and hemiparesis with long-lasting sequellae following injection of medication and total parenteral nutrition through a centrally placed catheter. The central catheter was inadvertently placed arterially even though no suspicion for incorrect placement had been raised on control chest X-ray. When there is difficult central venous access or doubt about the correct positioning of a catheter, position should be confirmed with chest X-ray in combination with pressure measurement and/or blood gas analysis. At present there is no evidence for specific treatment of neurological symptoms after arterially administered total parenteral nutrition.
引用
收藏
页码：21 / 23
页数：3
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