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Anesth Analg 2007; 105:1130-1131
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000278625.00308.dc
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GENERAL ARTICLES

Detecting an Infiltrated Intravenous Catheter Using Indigo Carmine: A Novel Method

Mingda Chen, MD, Ashraf S. Habib, MB FRCA, Moeen K. Panni, MD, PhD, and John R. Schultz, MD

From the Department of Anesthesiology, Duke University, Duke University Medical Center, Durham, North Carolina.

Address correspondence and reprint requests to Moeen K. Panni, MD, PhD, Department of Anesthesiology, University of Texas, Houston Medical School, 6431 Fannin, Suite 5.020, Houston, TX 77030. Address e-mail to moeen.k.panni{at}uth.tmc.edu.

An extravasated IV catheter may have serious clinical consequences. These include the inability to circulate emergency medications, cause pain on injection, infection at the site, and tissue damage. Clinical signs such as swelling, redness, and pain with injection are valuable, but may not be helpful in the presence of obesity, edema, or in a tracheally intubated and sedated patient. Here we describe a case illustrating a novel approach in which we used an IV dye injection (indigo carmine) to detect a correctly placed and then an extravasated IV. The ability to see visible flow of IV dye intravascularly helped confirm the correct placement. The technique we describe is quick, safe, and inexpensive.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.