Valsalva manoeuvre for central venous cannulation
نویسندگان
چکیده
منابع مشابه
Anatomic considerations for central venous cannulation
Central venous cannulation is a commonly performed procedure which facilitates resuscitation, nutritional support, and long-term vascular access. Mechanical complications most often occur during insertion and are intimately related to the anatomic relationship of the central veins. Working knowledge of surface and deep anatomy minimizes complications. Use of surface anatomic landmarks to orient...
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We report the occurrence of a bilateral pneumothoraces after unilateral central venous catheterization of the right subclavian vein in a 70-year-old patient. The patient had no history of pulmonary or pleural disease and no history of cardiothoracic surgery. Two days earlier, she had a median laparotomy under general and epidural anaesthesia. Prior to the procedure, the patient was hemodynamica...
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We describe a patient who developed bilateral pleural effusions as a delayed complication following central venous catheter insertion. Respiratory distress should not only raise the clinical suspicion of a pneumothorax but also of erosion and perforation of the central vein. The mechanism, diagnosis, management and prevention of this complication are discussed.
متن کاملLate venous perforations due to percutaneous central venous cannulation.
mean total dose of 0.5 per cent bupivacaine injected epiduraUy was 8.1 +0.26 ml (range 5-10 ml). The subarachnoid block usually extended from $5 to T7 dermatomes. The usual upper level of the CSE block after injection of local anaesthetic via the epidural catheter was T4. In six patients (25 per cent) the subarachnoid block reached the T4-5 level and further extension of block by epidural injec...
متن کاملUltrasound-guided infraclavicular axillary vein cannulation for central venous access.
BACKGROUND Infraclavicular axillary vein cannulation is not commonly used for central venous access because identifying the surface landmarks is difficult. Ultrasound guided axillary vein puncture has not been well described. We assessed ultrasound imaging to guide catheterization of the infraclavicular axillary vein. METHODS In 200 consecutive patients we attempted to catheterize the axillar...
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ژورنال
عنوان ژورنال: Anaesthesia
سال: 2007
ISSN: 0003-2409,1365-2044
DOI: 10.1111/j.1365-2044.2007.05121.x