Fracture and embolization of intravenous cannula placed in external jugular vein: A rare complication

Mohanty, Chitta Ranjan; Panda, Ritesh

doi:10.4103/sja.sja_289_18

Cited by 7 publications

(5 citation statements)

References 4 publications

(4 reference statements)

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“…One report was of a case of pulmonary air embolism through the open hub of an EJV cannula that was accidentally disconnected from the IV set in a patient who underwent bilateral humerus fracture surgery [ 20 ]. Another report was of a case of fracture and distal migration of the IV cannula placed in the EJV in the ICU patient [ 21 ]. Although we did not identify these complications in our patients, anesthesiologists should be careful of severe complications associated with EJV cannulation during cannula insertion, maintenance, and removal.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of the feasibility and safety of external jugular vein cannulation in surgical patients

Hwang²,

Lee³

2023

Anesth Pain Med

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Background: Establishing intravenous (IV) access is an essential procedure in surgical patients. External jugular vein (EJV) cannulation can be a good alternative for patients for whom it is difficult to establish peripheral IV access. We aimed to investigate the feasibility and safety of EJV cannulation in surgical patients.Methods: We performed a retrospective review of EJV cannulation in patients who underwent anesthesia for surgery at a tertiary hospital between 2010 and 2021. We collected clinical characteristics, including EJV cannulation-related variables, from the anesthetic records. We also investigated the EJV cannulation-related complications, which included any EJV cannulation-related complications (insertion site swelling, infection, thrombophlebitis, pneumothorax, and arterial cannulation) within 7 days after surgery, from the electronic medical records during the hospitalization period for surgery.Results: We analyzed 9,482 cases of 9,062 patients for whom EJV cannulation was performed during anesthesia. The most commonly performed surgery was general surgery (49.6%), followed by urologic surgery (17.5%) and obstetric and gynecologic surgery (15.7%). Unplanned EJV cannulation was performed emergently during surgery for 878 (9.3%) cases. The only EJV cannulation-related complication was swelling at the EJV-cannula insertion site (65 cases, 0.7%). There was only one case of unplanned ICU admission due to swelling related to EJV cannulation.Conclusions: Our study showed the feasibility and safety of EJV cannulation for surgical patients with difficult IV access or those who need additional large-bore IV access during surgery. EJV cannulation can provide safe and reliable IV access with a low risk of major complications in a surgical patient.

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Section: Discussionmentioning

confidence: 99%

Retrospective analysis of the feasibility and safety of external jugular vein cannulation in surgical patients

Hwang²,

Lee³

2023

Anesth Pain Med

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“…[ 2 ] EJV in adults is usually cannulated witha 16 gauge (G)/18G intravenous cannula with a three-way stopcock attached to prevent air migration. [ 3 ] PIVC can cause thrombophlebitis, infection, haematoma, and catheter fracture leading to a retained intravenous foreign body. [ 4 ]…”

mentioning

confidence: 99%

A broken intravenous cannula in external jugular vein: A rare catastrophe managed timely

Bansal¹,

Chhikara²,

Bansal³

et al. 2022

Indian J Anaesth

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“…[ 5 ] In these cases, cannulation can lead to thrombus dislodgement and cannula migration leading to embolism. [ 6 ] In head-and-neck surgeries, extreme rotation of the neck (park bench, dead lateral or prone position with full neck flexion) may block EJV intraoperatively. The presence of tracheostomy or cervical collar hinders its placement and access.…”

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confidence: 99%

External jugular vein cannulation – A double-edged sword

et al. 2021

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Fracture and embolization of intravenous cannula placed in external jugular vein: A rare complication

Cited by 7 publications

References 4 publications

Retrospective analysis of the feasibility and safety of external jugular vein cannulation in surgical patients

Retrospective analysis of the feasibility and safety of external jugular vein cannulation in surgical patients

A broken intravenous cannula in external jugular vein: A rare catastrophe managed timely

External jugular vein cannulation – A double-edged sword

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