دانلود رایگان مقاله انگلیسی یک جابجایی کاتتر وریدی مرکزی نادر در یک دختر 10 ساله - هینداوی 2018

Central venous catheters (CVCs) are placed in operating rooms worldwide via different approaches. Like any other medical procedure, CVC placement can cause a variety of complications. We report the case of an unexpected malposition of a catheter in the right internal jugular vein, where it looped back on itself during placement and went upward into the right internal jugular vein. CVC line placement should always be viewed as a procedure that could become complicated, even in the hands of the most experienced operators.

3. Discussion

CV catheterization is being performed every day in medical centers around the world. The internal jugular vein is one of Figure 3: The bended catheter. the most common sites that anesthesiologists use, and this site is chosen because CVC can be securely inserted in this location. It is difficult to estimate the rate of early and late complications that occur during insertion of CV lines. Many of the complications may go unseen, and many are unreported. Some complications may be life threatening or may cause morbidity, and some may not be recognized as a complication at all [3]. The incidence and occurrence of complications depend on various factors, such as the experience of the operator, the site of insertion, and the placement technique [4]. At our center, Shariati Hospital, we insert over 2000 CV lines every year. The Hematology-Oncology Research Center and Stem Cell Transplantation (HORCSCT) Center, which is affiliated to Tehran University of Medical Sciences (TUMS), is based in Shariati Hospital, and over two-thirds of our patients are individuals who have hematological cancer and require CV line placement for chemotherapy. The low price of CV lines compared to other options for CV access has favored their use at our center. However, using CV lines for chemotherapy has its own hazards, especially in the pediatric population.