Transient cortical blindness after resuscitation in a child having central venous catheterization under general anesthesia.
We describe a case of chronic renal failure developing life-threatening cardiovascular collapse during the insertion of central venous catheter for hemodialysis under general anesthesia in a 7-year-old boy. With timely resuscitation, he regained his vital signs within 20 min. However, after admission to the pediatric intensive care unit, visual impairment and four limb weakness were detected on the first postoperative day. Fortunately, symptoms resolved completely with close observation, psychological support and conservative management within 72 h without sequelae.
Department of Anesthesiology, Kaohsiung Veterans General Hospital, Taiwan. r6258.tw@yahoo.com.tw
Xuan-De
XD
Ye
Kang
K
Liu
Ting-Hang
TH
Chang
Chen Ming
CM
Shan
Yu-Ren
YR
Wang
Su-Zhen
SZ
Wu
D000768:Anesthesia, General / Q000009:adverse effects*; D019575:Blindness, Cortical / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002648:Child; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D006435:Renal Dialysis; D012151:Resuscitation; D012769:Shock / Q000209:etiology* / Q000628:therapy