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Be Careful with an IV Line.

Raghunath Prabhu1, Rajgopal Shenoy2, Nitin Thinda3

  • 1Assistant Professor, Department of Surgery, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .

Journal of Clinical and Diagnostic Research : JCDR
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PubMed
Summary

Accidental intra-arterial cannulation during IV line placement can cause severe complications like limb ischemia. Recognizing signs such as bright red blood and intense pain is crucial for prevention.

Keywords:
GangreneIntra-arterial cannulationIntra-arterial injectionIntravenous access

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Area of Science:

  • Vascular Surgery
  • Patient Safety

Background:

  • Intravenous (IV) access is a common medical procedure.
  • Inadvertent intra-arterial (IA) cannulation is a rare but serious complication.
  • IA injection of medications can lead to devastating consequences.

Observation:

  • A 57-year-old male developed ischemia, gangrene, and hand loss after accidental IA medication injection.
  • The complication occurred during pain management following esophageal stricture treatment.
  • The IV line was improperly placed, leading to the IA cannulation.

Findings:

  • Key indicators of IA cannulation include a bright-red blood flash, pulsatile blood flow in the IV line, and severe burning pain.
  • Prompt recognition of these signs is vital for preventing irreversible damage.
  • Failure to identify IA access can result in limb ischemia and loss.

Implications:

  • Healthcare providers must maintain vigilance during IV line insertion, especially in proximity to arteries.
  • Educating patients on early ischemia symptoms can facilitate timely intervention.
  • Implementing protocols to identify and manage inadvertent IA cannulation is essential for patient safety.