11 KB279 KB8 KB199220252001Cerović, RobertJuretić, MirnaŠustić, Alanštevilka:33 straniletnik:35str. 175-177ISSN:1318-2099COBISSID:13704153URN:URN:NBN:SI:doc-1WE19X1PenAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)AdultCarcinoma, squamous cellCatheterization, central venousonkologijaRadical neck dissectionsonografijaSubclavian veinSurgeryTongue neoplasmsUltrasonographyultrasoundultrazvokUltrasound-guided central venous cannulation in patient with radical dissection on both sides of neck| case report| prikaz primera| Ultrazvočno vodeno uvajanje centralnega venskega katetra pri bolniku, ki je imel obojestransko radikalno odstranjene vratne bezgavke|Background. Difficult and complicated surgical procedures in elective oncologic patients often require central venous (CV) catheterization. In certain number of cases, relevant anatomical changes, caused by basic disease,impede, or even prevent the use of standard "blind" CV cannulation. Insuch cases ultrasonography can be used successfully as an adjunctive method during the CV cannulation. Case report. We present the patient with a radical dissection on both sides of neck and consequent important anatomical changes; the ultrasound guided CV cannulation is successfully performed in this patient. Conclusions. Ultrasound as a supporting method for CV catheterizationin oncological patients has potential benefits. Sonography as an important adjunct method in central venous cannulation is recommended in difficult caseslzhodišča. Obsežne in težavne operacije v onkologiji večkrat zahtevajo uvajanje centralnega venskega (CV) katetra. Pri nekaterih bolnikih je zaradi anatomskih sprememb, ki jih je povzročila bolezen, ovirano ali celo onemogočeno običajno "slepo" uvajanje CV katetra. V takšnih primerih je uporaba utrazvoka uspešna dodatna metoda pri uvajanju CV katetra. Prikaz primera. Predstavljamo bolnika, ki je imel obojestransko radikalno odstranjenevratne bezgavke in pri katerem je posledično prišlo do pomembnih anatomskih sprememb ter smo mu ultrazvočno uspešno uvedli CV kateter. Zaključki. Ultrazvok je lahko koristna dodatna metoda pri uvajanju CV katetra pri onkoloških bolnikih. V primerih, kjer je uvajanje otežkočeno, priporočamo uporabo ultrazvokaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije