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Anesth Analg 2009; 109:135-136
© 2009 International Anesthesia Research Society
doi: 10.1213/ane.0b013e3181a7f5a4
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PATIENT SAFETY

Carotid Dissection: A Complication of Internal Jugular Vein Cannulation with the Use of Ultrasound

Andrea J. Parsons, MD, and John Alfa, MBBS, DA, FRCA

From the Department of Anesthesiology, University of Michigan Hospital, Ann Arbor, Michigan.

Address correspondence and reprint requests to Andrea Parsons, MD, Department of Anesthesiology, 1H247 UH, 1500 E. Medical Center Dr., Ann Arbor, MI 48109. Address e-mail to andreapa{at}med.umich.edu.

Abstract

Central venous catheters (CVCs) are often used in intensive care units and operating rooms. They facilitate hemodynamic monitoring, administration of fluids and medications, transvenous pacing and renal fluid replacement therapy. Severe complications can arise from inserting CVCs, some of which may be life threatening. A safe insertion technique with confirmation of correct placement of these catheters is of utmost importance. We present an obese 66-yr-old man who had carotid artery dissection with compromised cerebral circulation after CVC insertion under ultrasound guidance. The dissection was immediately repaired with no neurological sequelae to the patient.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2009 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2009 by the International Anesthesia Research Society.