{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:45:04Z","timestamp":1726505104225},"reference-count":12,"publisher":"California Digital Library (CDL)","issue":"1","license":[{"start":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T00:00:00Z","timestamp":1643328000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Many patients seen in the emergency department (ED) have central venous access placed or previously established placement. Catheters inadvertently placed in the arterial circulation may lead to complications or adverse events.\nCase Report: We present a case of hemiplegia in a 63-year-old man following intravenous fluid administration through a malpositioned catheter that was initially unrecognized. The patient initially presented to the ED for stroke-like symptoms and was discharged following workup. On a subsequent visit for similar symptoms, intra-arterial placement of the catheter was diagnosed.\nConclusion: It is important for emergency physicians to be aware of this potential complication of central venous cannulation and that arterial malposition of a previously placed central line may go unrecognized with the potential to cause cerebral ischemia when cerebral blood flow is reduced by the infusion of intravenous fluids or medications.<\/jats:p>","DOI":"10.5811\/cpcem.2021.12.55230","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T01:32:35Z","timestamp":1644283955000},"page":"76-79","source":"Crossref","is-referenced-by-count":0,"title":["Hemiplegia Following Fluid Administration Through an Implanted Venous Access Device: A Case Report"],"prefix":"10.5811","volume":"6","author":[{"given":"James","family":"Waymack","sequence":"first","affiliation":[{"name":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"McDowell","sequence":"additional","affiliation":[{"name":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nida","family":"Feller","sequence":"additional","affiliation":[{"name":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Kim","sequence":"additional","affiliation":[{"name":"Southern Illinois University School of Medicine, Center for Clinical Research, Springfield, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2022,1,28]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Tomiyama Y, Jansen K, Brian JE Jr, et al. Hemodilution, cerebral O2 delivery, and cerebral blood flow: a study using hyperbaric oxygenation. Am J Physiol. 1999;276(4):H1190-6.","DOI":"10.1152\/ajpheart.1999.276.4.h1190"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Ruesch S, Walder B, Tram\u00e8r MR. Complications of central venous catheters: Internal jugular versus subclavian access\u2014a systematic review. Crit Care Med. 2002;30(2):454-60.","DOI":"10.1097\/00003246-200202000-00031"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"McGee DC and Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33.","DOI":"10.1056\/NEJMra011883"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Eisen LA, Narasimhan M, Berger JS, et al. Mechanical complications of central venous catheters. J Intensive Care Med. 2006;21(1):40-6.","DOI":"10.1177\/0885066605280884"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Bowdle A. Vascular complications of central venous catheter placement: evidence-based methods for prevention and treatment. J Cardiothorac Vasc Anesth. 2014;28(2):358-68.","DOI":"10.1053\/j.jvca.2013.02.027"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Gilbert MC, Elkouri S, Bracco D, et al. Arterial trauma during central venous catheter insertion: case series, review and proposed algorithm. J Vasc Surg. 2008;48(4):918-25.","DOI":"10.1016\/j.jvs.2008.04.046"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Dixon O, Smith GE, Carradice D, et al. A systematic review of management of inadvertent arterial injury during central venous catheterization. J Vasc Access. 2017;18(2):97-102.","DOI":"10.5301\/jva.5000611"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Nicholson T, Ettles D, Robinson G. Managing inadvertent arterial catheterization during central venous access procedures. Cardiovasc Intervent Radiol. 2004;27(1):21-5.","DOI":"10.1007\/s00270-003-0043-8"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"D\u2019Souza PC, Kumar S, Kakaria A, et al. Use of port-a-cath in cancer patients: a single-center experience. J Infect Dev Ctries. 2014;8(11):1476-82.","DOI":"10.3855\/jidc.4155"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Abood GJ, Davis KA, Esposito TJ, et al. Comparison of routine chest radiograph versus clinician judgment to determine adequate central line placement in critically ill patients. J Trauma. 2007;63(1):50-6.","DOI":"10.1097\/ta.0b013e31806bf1a3"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Bailey SH, Shapiro SB, Mone MC, et al. Is immediate chest radiograph necessary after central venous catheter placement in a surgical intensive care unit? Am J Surg. 2000;180(6):517-21.","DOI":"10.1016\/s0002-9610(00)00498-0"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Puls LE, Twedt CA, Hunter JE, et al. Confirmatory chest radiographs after central line placement: Are they warranted? South Med J. 2003;96(11):1138-41.","DOI":"10.1097\/01.smj.0000053920.02489.a1"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T14:50:14Z","timestamp":1645800614000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/05v2g1k6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,28]]},"references-count":12,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,2,3]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2021.12.55230","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2022,1,28]]}}}