《新英格兰医学杂志》最新综述中心静脉置管规范2007.pdfVIP

T h e n e w e ng l a nd j o u r na l o f m e dic i n e videos in clinical medicine Central Venous Catheterization Alan S. Graham, M.D., Caroline Ozment, M.D., Ken Tegtmeyer, M.D., Susanna Lai, M.P.H., and Dana A.V. Braner, M.D. Indications Central venous catheterization provides a route for delivery of caustic or critical From the Department of Pediatrics, Divi- medications and allows measurement of central venous pressure. sion of Pediatric Critical Care, Doernbecher Children’s Hospital, Portland, OR (A.S.G., K.T., S.L., D.A.V.B.); and the Department Contraindications of Pediatrics, Division of Pediatric Critical General contraindications for the placement of a central venous catheter include Care, Duke University, Durham, NC (C.O.). Address reprint requests to Dr. Tegtmeyer infection of the area overlying the target vein and thrombosis of the target vein; at the Department of Pediatrics, Division site-specific and relative contraindications include coagulopathy, although this is not of Pediatric Critical Care, Doernbecher an absolute contraindication. Extreme care must be exercised in patients with coagu- Children’s Hospital, Oregon Health