[Paravasal infusion over the proximal lumen of a Swan-Ganz catheter].
In a severe traumatized patient (34 years old, 182 cm tall, 90 kg body wt.), we inserted a Swan-Ganz catheter (110 cm, 5 lumina, Modell 93A-831-7.5F, Baxter Healthcare) via the right internal jugular vein. Infusion was started using the proximal lumen. Several hours later we observed a large swelling on the right side of the neck and the supraclavicular region due to paravasal fluid administration while recording normal pulmonary artery and wedge pressure curves. The reasons and consequences are discussed.
Ziegenfuss
T
T
Klinik für Anaesthesiologie und Intensivmedizin, Universitätskliniken des Saarlandes, Homburg/Saar.
Bauer
M
M
Bleser
W
W
D000328:Adult; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D004487:Edema / Q000209:etiology*; D006801:Humans; D008297:Male; D009104:Multiple Trauma; D009333:Neck
Paravasale Infusion über das proximale Lumen eines Swan-Ganz-Katheters.