Aberrant position of a central venous cathetera cause for inadequate fluid replacement in septic shock
作者:
MICHAEL KRAUSZ,
JACOB BERLATZKY,
DAN EIMERL,
SHAMAY COTEV,
期刊:
Critical Care Medicine
(OVID Available online 1978)
卷期:
Volume 6,
issue 5
页码: 337-338
ISSN:0090-3493
年代: 1978
出版商: OVID
数据来源: OVID
摘要:
An unusual placement of a “central” venous catheter in the porto-hemiazygous system of a cirrhotic patient in septic shock is described. The catheter was misinterpreted as being located in a central vein and served initially as a guide for volume replacement. The high central venous pressure recorded (22 cm H2O) in spite of signs of hypovolemia led to the introduction of a Swan-Ganz catheter which confirmed the presence of hypovolemia. The proper position of the central venous catheter, especially in cirrhotic patients, should not only be confirmed by plain chest x-ray but also by injection of contrast medium.
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