The dangers of intravenous cannulation within the anatomical snuffbox

Abstract

The dangers of intravenous cannulation within the anatomical snuffbox Dear SirA 26-year-old, right-handed housewife attended hospital for routine delivery of her first child. After an unsuccessful attempt at venous cannulation using a 20 gauge needle on the dorsoradial aspect of the right wrist within the anatomical snuffbox, she immediately experienced a sharp 'electric' pain radiating from the dorsum of the hand to the back of the right upper arm, with a loss of sensation over the first dorsal web space and radial aspect of the thumb. The procedure was abandoned and no intravenous fluid was injected through the cannula. Ten weeks later she continued to experience numbness over the thumb and index finger and intermittent 'electric pains' within the dorsoradial forearm. The symptoms were aggravated by writing for long periods, cold

Revisiting the anatomy of the cephalic vein, its origin, course and possible clinical correlations in relation to the anatomical snuffbox among Jordanian

“…Throughout its course, the CV has three clinical important regions; it's origin on the hand in the AS, in the cubital fossa and its termination in the axillary vein. The latter two regions were studied and it has been concluded that the CV has different anatomical patterns in those regions [6,8,13,22]. However, the anatomical patterns of the CV in the AS seemed to be overlooked.…”

Anatomical Snuffbox and it Clinical Significance: A Literature Review

“…Amar et al, (2012) reported the case of a 40 years old patient with a compressive lipoma affecting the lateral terminal branch of the SBRN at this level. Naeem et al (2012) reported that after a failed attempt to canalize the CV in the AS, a woman suffered a strong electric pain irradiated from the back of the hand to the posterior region of the upper portion of right arm, with a loss of sensitivity in the first interdigital space and radial side of the thumb. Nine months after, she was diagnosed with a neuroma of the SBRN.…”