title: Inadvertent intrathecal cannulation in an infant, demonstrated by three-dimensional computed tomography: a rare complication of internal jugular vein catheterization.
abstract: 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.
authors.affiliation: Department of Anesthesiology and Medical Crisis Management, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan.
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Fujita
authors.forename: Kazuya
authors.initials: K
authors.lastname: Sobue
authors.forename: Tomonori
authors.initials: T
authors.lastname: Hattori
authors.forename: Akinori
authors.initials: A
authors.lastname: Takeuchi
authors.forename: Takako
authors.initials: T
authors.lastname: Tsuda
authors.forename: Hirotada
authors.initials: H
authors.lastname: Katsuya
mesh_terms: 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