Missed Carotid Artery Cannulation: A Line Crossed and Lessons Learnt-Reference-Cited by-同舟云学术

Missed Carotid Artery Cannulation: A Line Crossed and Lessons Learnt

Published:2014-11 Issue:6 Volume:42 Page:793-800
ISSN:0310-057X
Container-title:Anaesthesia and Intensive Care
language:en
Short-container-title:Anaesth Intensive Care

Author:

Ho L.¹,Spanger M.¹²,Hayward P.¹³,Mcnicol L.¹,Weinberg L.¹

Affiliation:

1. Department of Anaesthesia, Austin Health, Heidelberg, Victoria

2. Department of Radiology, Box Hill Hospital, Box Hill, Victoria

3. Department of Cardiac Surgery, Austin Health, Heidelberg, Victoria

Abstract

We report a case of an infusion of intra-aortic propofol after the missed inadvertent placement of a centra venous catheter into the right common carotid artery. Radiological imaging revealed bilateral ischaemic infarct in the posterior fossa and right cerebral artery territories consistent with an embolic source. The potential cause of the neurological injuries sustained in this case are explored. Discussion focuses on the sequelae, managemen and prevention of an iatrogenic carotid artery injury from a central venous catheter insertion. Finally, we propose an algorithm for management of iatrogenic carotid artery cannulation.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/0310057X1404200617

Reference29 articles.

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