Traumatic internal jugular vein cannulation

Hiccups, a rare complication arising from use of a central venous catheter

“…They claimed that in this case, hiccups were related to the compression to the right phrenic nerve of the hematoma, and they ceased in 7 days. 4 In our case, because hiccups ceased after the catheter was partially withdrawn and breathlessness or hypoxia did not present, we did not think that phrenic nerve trauma or hematoma were responsible for our patient' s condition. Hiccups occurred after ultrafiltration.…”

Persistent Hiccups After Attempted Interscalene Brachial Plexus Block

“…There are case reports of persistent hiccups after thoracic epidural steroid injection 8 (postulated to be a systemic steroid effect) and after traumatic right internal jugular line placement. 9 In our patient, we postulate that the hiccups resulted from phrenic nerve irritation at the level of C6 after perineural local anesthetic injection. Hematoma formation after suspected intravascular injection may have been the precipitating factor.…”

An Elevated Hemidiaphragm 3 Months After Internal Jugular Vein Hemodialysis Catheter Placement

“…There are several other mechanisms that have the potential of causing palsy of the phrenic nerve. A hematoma in the region of the procedure may cause phrenic nerve dysfunction by direct compression; this has been reported with both subclavian and internal jugular vein catheterization (4,9). Local anesthetic agents used in the catheter placement procedure can also cause phrenic nerve palsy through injection into the nerve root itself (6).…”