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Nutrición Hospitalaria
On-line version ISSN 1699-5198Print version ISSN 0212-1611
Abstract
GONZALEZ FERNANDEZ, C. et al. Cardiac blockade after changing central venous catheter, on a guide, for total parenteral nutrition: Can it be avoided?. Nutr. Hosp. [online]. 2003, vol.18, n.1, pp.46-50. ISSN 1699-5198.
Catheterization of central veins is a routine process, especially in severely-ill patients. It is a technique associated with multiple potential complications, fortunately infrequent, depending on the skill with which it is performed. Cardiac blockade is one of these infrequent complications with a high mortality. We describe a case in which suspicion, early diagnosis, and immediate manipulative treatment allowed a successful recovery of the patient. In addition, the literature is reviewed and possible mechanisms involved in these episodes are discussed.
Keywords : Cardiac blockade; Central venous catheter; Parenteral nutrition.