[Case of radial nerve injury induced by withdrawing a catheter from the cephalic vein].
There are many reports of neuropathic pain describing nerve injuries sustained by sticking or penetrating nerves by metal needles on venipuncture. However, there was no previous report of neuropathic pain caused by withdrawing a catheter from the vein as in this case. Neuropathic pain in this case was quickly cured by intravenous ketamine hydrochloride and stellate ganglion block. The neuropathic pain occurred when a medical student withdrew a catheter from the cephalic vein during clinical training. Clinical training of medical students is very important for medical education, but we must also recognize that this training involves many risks not only for patients but also for the students.
Fujino
Yoshihisa
Y
Department of Anesthesiology, Shiga University of Medical Science, Otsu 520-2192.
Fukui
Mikio
M
Nosaka
Shuichi
S
Matsumoto
Tomikichi
T
D000328:Adult; D001132:Arm / Q000098:blood supply*; D016121:Brachiocephalic Veins; D002406:Catheterization, Peripheral / Q000009:adverse effects* / Q000379:methods; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004504:Education, Medical, Undergraduate / Q000379:methods; D006801:Humans; D007649:Ketamine / Q000008:administration & dosage; D008297:Male; D009407:Nerve Block; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D011826:Radial Nerve / Q000293:injuries*; D013233:Stellate Ganglion; D013337:Students, Medical; D016896:Treatment Outcome
D007649:Ketamine