Complications of Central Venous Catheterization - Department of ...

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Case History 8/23/06 545pm: : 17F restrained backseat passenger <strong>of</strong> a van involved in a 30 mph head on collision with another vehicle arrived at KCHC ER. Afebrile BP 116-149/52 149/52-9090 HR 160s , restless CXR, Pelvic XR neg Medical History: : Cornelia de Lange Syndrome Mental retardation, seizures Observed in ER over 6hrs; by 1100pm patient decompensated: T101.9 BP 63/52 HR 130s Oxy Sat 85-89% 89% on FM Intubated by anesthesia, unresposive to fluid challenges
Case History, cont’d. ABG: : 7.29/ 28/ 542/ 99/ 15 / -12.2 lactate 5.8 WBC 7.2 Started on Levophed; 100am Trauma consult called Physical Exam: : short stature, microcephaly, , cleft palate, hirsutism, intubated, , sedated Tachycardic Lungs: : CTAB Abdomen: : tense, distended, bowel sounds; +seatbelt sign with RLQ bruising Rectal: : no gross blood
Page 1: Complications of Central Venous Cat
Page 5: Post op Course Cardiac arrest withi
Page 11 and 12: Hospital course Catheter tip retrie
Page 13 and 14: Central Venous Catheters More than
Page 15 and 16: Internal Jugular Access
Page 17 and 18: Subclavian Approach
Page 19 and 20: Complications PTX Arterial puncture
Page 21 and 22: Arterial Puncture Up to 19% of comp
Page 23 and 24: McGee, et al. Preventing Complicati
Page 25 and 26: Thrombosis, cont’d. Catheter rela
Page 28: Other Complications Catheter/guidew

Complications of Central Venous Catheterization - Department of ...

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