Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/12442
Title: Missed carotid artery cannulation: a line crossed and lessons learnt.
Authors: Ho, L;Spanger, M;Hayward, Philip A R;McNicol, Larry;Weinberg, Laurence
Affiliation: Department of Anaesthesia, Austin Health, Heidelberg, Victoria.
Department of Radiology, Box Hill Hospital, Box Hill, Victoria.
Department of Cardiac Surgery, Austin Health, Heidelberg, Victoria.
Issue Date: 1-Nov-2014
Citation: Anaesthesia and Intensive Care; 42(6): 793-800
Abstract: We report a case of an infusion of intra-aortic propofol after the missed inadvertent placement of a central venous catheter into the right common carotid artery. Radiological imaging revealed bilateral ischaemic infarcts in the posterior fossa and right cerebral artery territories consistent with an embolic source. The potential causes of the neurological injuries sustained in this case are explored. Discussion focuses on the sequelae, management 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.
Internal ID Number: 25342414
URI: http://ahro.austin.org.au/austinjspui/handle/1/12442
URL: http://www.ncbi.nlm.nih.gov/pubmed/25342414
Type: Journal Article
Subjects: central venous catheter
propofol
ultrasound
vascular injury
Aged, 80 and over
Anesthetics, Intravenous.administration & dosage
Brain Ischemia.etiology
Carotid Arteries.ultrasonography
Carotid Artery Injuries.etiology.prevention & control
Catheterization.adverse effects
Female
Humans
Iatrogenic Disease.prevention & control
Paresis.etiology
Propofol.administration & dosage
Ultrasonography, Interventional.methods
Appears in Collections:Journal articles

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