Arrhythmia Induced by Positional Change Under General Anesthesia Related to Caudal Movement of the Peripherally Inserted Central Venous Catheter: A Case Report.
Isao Utsumi, Tomasz Hascilowicz, Yasushi Mio, Sachiko Omi
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Abstract
Background: The novel case report of a temporary arrhythmia that developed after a positional change in a patient under general anesthesia emphasizes the possibility of potentially lethal cardiac arrhythmias that may develop owing to caudal movement of the peripherally inserted central venous catheter ([CVC] PICC) tip when changing patient positions. Case Presentation: We present a case of temporary arrhythmia that developed after a positional change in a 44-year-old female patient scheduled for laparoscopic adrenalectomy under general anesthesia. She had undergone preoperative insertion of a PICC using an electrocardiogram (ECG)-guided tip confirmation system (TCS). Conclusion: The case report discusses the optimal TCS and emphasizes vigilant ECG monitoring, suggesting measures to prevent these arrhythmias under general anesthesia.
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