Inadvertent intrathecal cannulation in an infant, demonstrated by three-dimensional computed tomography: a rare complication of internal jugular vein catheterization.
We describe a case of inadvertent intrathecal cannulation with a central venous catheter in an infant, confirmed by three-dimensional computed tomography, which clearly demonstrated the track of the catheter. We believe that this complication could have been related to two major factors: depth of needle insertion and penetration of the vein by a straight-tip guidewire. To avoid this complication, the depth of needle insertion must be carefully checked, a "J"-tipped rather than a straight-tipped guidewire should be used, and puncture should be guided by ultrasound.
Fujita
Yoshihito
Y
Department of Anesthesiology and Medical Crisis Management, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan.
Sobue
Kazuya
K
Hattori
Tomonori
T
Takeuchi
Akinori
A
Tsuda
Takako
T
Katsuya
Hirotada
H
D002406:Catheterization, Peripheral / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007223:Infant; D007601:Jugular Veins; D019300:Medical Errors; D009333:Neck / Q000000981:diagnostic imaging; D013116:Spinal Cord / Q000000981:diagnostic imaging*; D013119:Spinal Cord Injuries / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed