Juguler Kateter Komplikasyonu Olarak Hematomun Neden Olduğu Vazovagal Bradikardi

Year 2017, Volume: 15 Issue: 2, 84 - 86, 01.08.2017

Oğuzhan Babacan Erman Ataş , Nadir Korkmazer Vural Kesik

Abstract

Santral venöz kateterler genellikle küçük girişimsel işlemler ile kolayca takılabilmesi ve güvenli olması yanı sıra bazen büyük ve küçük komplikasyonlar ile karşılaşabiliriz. Bu komplikasyonlardan biri de takılma yerinde hematom gelişmesidir. Hematom sıklığı yapılan girişim metoduna, yapanın yeteneğine, hastanın tıbbi durumuna ve girişim gerektirecek problemlerin durumuna göre değişir. Servikal vagus siniri karotid arterin lateralinde seyreder. Servikal kardiyak dal genellikle servikal vagustan bazen de superior laringeal sinirden köken alır. Bu sinir dalı ayrıca aortik dal veya depresör sinir olarak adlandırılmakta olup, aortik ark baroreseptörlerinden çıkan afferent lifler içerir. Arteriovenöz işlemler veya vagal bölgeye kompresyon süresince vazovagal reaksiyonlar sıklıkla görülebilir. Juguler kateter komplikasyonu olarak hematom ilişkili vazovagal bradikardi akılda tutulmalıdır. 

Keywords

bradikardi, hematom, kateter, bradycardia, hematoma, catheter

Hematoma Related Vasovagal Bradycardia Due To Jugulary Catheter Complication

Abstract

Central venous catheters are usually safe and placed with minor procedure easily but may sometimes be associated with some major and minor complications. One of the complications is hematoma. The frequency of the hematoma formation can be changed due to the method of insertion by specialist, medical status of the case and the problems that require intervention. The cervical vagus nerve runs parallel to the carotid artery on its lateral side. A cervical cardiac branch is given off along the course of the cervical vagus or in some cases from the superior laryngeal nerve. This nerve branch is also termed aortic branch or depressor nerve and contains mainly afferent fibers from baroreceptors of the aortic arch. Vasovagal reactions during the arteriovenous interventions or compression on the vagal site may be much more frequent. Hematoma related vasovagal bradycardia due to jugulary catheter complication may be kept in mind.

Keywords

bradycardia, hematoma, catheter

References

• 1. Bander SJ, Schwab SJ. Central venous angioaccess for hemodialysis and its complications. Semin Dial 1992; 5: 121-28.
• 2. Zhou Q, Xiao W, An E, Zhou H, Yan M. Effects of four different positive airway pressures on right internal jugular vein catheterisation. Eur J Anaesthesiol 2012; 29: 223-28.
• 3. McMahon NC, Drinkhill MJ, Hainsworth R. Absence of early resetting of coronary baroreceptors in anaesthetized dogs. J Physiol 1998; 513: 543-49.
• 4. Julu PO, Cooper VL, Hansen S, Hainsworth R. Cardiovascular regulation in the period preceding vasovagal syncope in conscious humans. L Physiol 2003; 549: 299-311.
• 5. Berthoud HR, Neuhuber WL. Functional and chemical anatomy of the afferent vagal system. Auton Neurosci 2000; 85: 1-17.
• 6. Doyle DJ, Mark PW. Reflex bradycardia during surgery. Can J Anaesth 1990; 37: 219-22.
• 7. Richardson DA, Bexton R, Shaw FE, Steen N, Bond J, Kenny RA. Complications of carotid sinus massage--a prospective series of older patients. Age Ageing 2000; 29: 413-17.
• 8. Thomas MD, Torres A, Garcia-Polo J, Gavilan C. Life-threatening cervico-mediastinal haematoma after carotid sinus massage. J Laryngol Otol 1991;105: 381-83.
• 9. Deepak SM, Jenkins NP, Davidson NC, Bennett DH, Mushahwar SS. Ventricular fibrillation induced by carotid sinus massage without preceding bradycardia. Europace 2005; 7: 638-40.