중심정맥압 이상측정의 1예보고
Misplacement of Central Venous Catheter Tip.-A case report-
곽호성, 윤석민, 윤승문,
소속 상세정보
곽호성 ( ) - 국립의료원 마취과
윤석민 ( ) - 국립의료원 마취과
윤승문 ( ) - 국립의료원 마취과
KMID : 0356919770100020047
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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