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중심정맥압 이상측정의 1예보고

Misplacement of Central Venous Catheter Tip.-A case report-

대한마취과학회지 1977년 10권 2호 p.47 ~ 51
곽호성, 윤석민, 윤승문,
소속 상세정보
곽호성 (  ) - 국립의료원 마취과
윤석민 (  ) - 국립의료원 마취과
윤승문 (  ) - 국립의료원 마취과

Abstract


Monitoring of the cintral venous pressure is a simple, relatively inexpensive method of assessing a patient´s cardiac status, circulating blood volume, and vasomotor tone.
The simplest way of checking the intrathoracic location of the catheter tip is by observing oscillation of 2∼4㎝H₂O in the manometer column, synchronous with respiratory cycle.
Inaccurate measurements are often obtained by the misplacement of the central venous catheter tip, in addition to the other well-known complications.
Radiographic identification of the catheter tip is essential to eliminate these problems.
We experienced a case of arrhythmia which appeared upon misplacement of the central venous catheter tip, and confirmed its misplacement by radiographic study.

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