Ultrasound-guided placement of a midline catheter in a patient with extensive postburn contractures: A Case report.
Medicine (Baltimore)
; 98(3): e14208, 2019 Jan.
Article
en En
| MEDLINE
| ID: mdl-30653177
ABSTRACT
RATIONALE Obtaining venous access in a patient with extensive postburn scar contractures is a challenge. PATIENT CONCERNS A 39-year-old woman suffered a burn 2 years previously with a total body surface area burn of 93%, and a burn index of 85. Reconstructive surgery was previously performed 39 times. Split-thickness skin grafting to the neck was planned. She had no accessible peripheral veins. DIAGNOSIS Difficult venous access due to excessive burn scar contractures. INTERVENTIONS:
Central venous catheterization was considered impossible even with ultrasound guidance. We placed a midline catheter for intraoperative venous access in a patient with extensive burn scar contractures. The midline catheter is a peripheral venous catheter placed in an arm vein.OUTCOMES:
We successfully placed a midline catheter in the right brachial vein. This catheter was used for 24 days without difficulty. LESSONS The midline catheter is a viable choice in patients with difficult vascular access due to extensive postburn scar contractures.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Quemaduras
/
Cateterismo Periférico
/
Cicatriz
/
Ultrasonografía Intervencional
/
Contractura
Tipo de estudio:
Guideline
Límite:
Adult
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Female
/
Humans
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2019
Tipo del documento:
Article