Intraoperative ultrasound evidence of accidental simultaneous cannulation of the common carotid artery and internal jugular vein: illustrative case.

Autor: Mittal AM; 1Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and., Nowicki KW; 1Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and., Fernández-de Thomas RJ; 1Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and., Mayor J; 2Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania., McEnaney RM; 2Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania., Gerszten PC; 1Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and.
Jazyk: angličtina
Zdroj: Journal of neurosurgery. Case lessons [J Neurosurg Case Lessons] 2022 Sep 05; Vol. 4 (10). Date of Electronic Publication: 2022 Sep 05 (Print Publication: 2022).
DOI: 10.3171/CASE22286
Abstrakt: Background: Establishing central venous access is important to provide fluid resuscitation or medications intravenously to patients.
Observations: Although accidental cannulation of the internal carotid artery has been reported in the literature, to our knowledge this report is the first documented intraoperative ultrasound video demonstrating accidental and simultaneous common carotid artery and internal jugular cannulation during central line placement in the internal jugular vein.
Lessons: Ultrasound use minimizes accidental carotid cannulation during central line placement in the internal jugular vein. Carotid artery puncture can be managed by external application of pressure or surgical reexploration.
Databáze: MEDLINE