深靜脈穿刺cv講義-資料下載頁
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【正文】 性傳導(dǎo)阻滯（主要指原有 RBBB） 并發(fā)癥（ 3） 導(dǎo)管留置過程中 ? 肺動脈破裂、肺出血 ? 氣囊破裂 ? 感染 ? 血栓形成和栓塞：血栓性靜脈炎，靜脈 栓塞，心內(nèi)膜血栓形成，瓣膜贅生物等 ? 肺梗死 并發(fā)癥（ 4） ? 導(dǎo)管扭曲、打結(jié)、折斷 ? 心臟機(jī)械性損傷 Table 7 PRACTICE GUIDELINES FOR PULMONARY CATHETER USE ( ASA TASK FORCE ON PULMONARY ARTERY CATHETERIZATION ) Opinions ?PA catheter monitoring can reduce the incidence of perioperative plications,primarily by providing immediate access to critical hemodynamic data ?Having immediate access to PA catheter data allows important preemptive measures for that subset of patients who encounter hemodynamic disturbances that require immediate and precise decisions about fluid management and drug treatment. ?Experience and understanding are the major determinants of PA catheter effectiveness ?PA catheterization is inappropriate as a routine practice in surgical patients and should be limited to cases in which the anticipated benefits of catheterization outweight the potential risks. Table 8 PRACTICE GUIDELINES FOR PULMONARY CATHETER USE ( ASA TASK FORCE ON PULMONARY ARTERY CATHETERIZATION ) Remendations ?perioperative PA catheterization should be considered in surgical settings associated with an increassed risk because of plications from hemodynamic changes. ?PA catheterization is not remended when the patient,procedure,and practice setting each pose a low risk for hemodynamic changes. ?Due to the risk of plication from PA catheterization,the procedure should not be performed by clinicians who lack petence in safe insertion or in accurate interpretation of result. 海灣的故事 （ Swan） The beach at Santa Monica
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