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- Inadvertent Arterial Catheterization of Central Venous Catheter: A Case Report
- Seung Young Oh
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J Trauma Inj 2015;28(4):292-294
DOI: https://doi.org/10.20408/jti.2015.28.4.292
Published online: December 31, 2015
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Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. faun1226@gmail.com
Received: 11 December 2015 • Revised: 11 December 2015 • Accepted: 11 December 2015
Abstract
Central venous catheterization is one of the most important procedures for initial resuscitation of hemodynamically unstable patients including multiple trauma patients. Inadvertent arterial placement of the large caliber central venous catheter can results in resuscitation failure as well as unnecessary invasive treatment. Here, we report an arterial puncture during central venous catheterization which may lead to inadvertent arterial catheterization. We recommend that arterial catheterization should be evaluated before dilator insertion during Seldinger's method. Ultrasound can help in preventing the inadvertent arterial catheterization of central venous catheter.
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