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Central Venous Catheter Removal Distress Syndrome 2 예
김수희(Su Hee Kim),박성오(Sung Oh Park),고혁(Hyeok Koh),최종수(Jong Su Choi),송경일(Kyoung Il Song) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.1
Much attention has been paid to the insertion of central venous catheter(CVC) but their removal is a subject discussed rarely. After removal of a central venous catheter, rare but potentially life-threatening, transient cardiopulmonary collapse or neurological dysfunction had developed. The failure to appreciate these complications may be a significant factor in their high mortality. Early recognition and treatment may be made possible by a high index of suspicion. In this report, the clinical courses of two patients with central venous catheter removal distress syndrome are reviewed. Also guidelines for safe removal of CVC are formulated. An awareness of potential CVC removal complications is most important for their prevention and timely treatment. CVCs should be removed with the same degree of meticulous attention to detail that accompanies their insertion. Medical personnel should be reminded that removal of the catheter is an integral component of CVC management. (Korean J Nephrol 2002;21(1):165- 170)