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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
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[Cave: interscalene catheters].

P Gaus1, Ph Kutz2, J A Bachtler3

  • 1Abteilung für Anästhesie und Intensivmedizin, Kliniken Dr. Erler gGmbH, Kontumazgarten 4-18, 90429, Nürnberg, Deutschland. p.gaus@erler-klinik.de.

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Summary
This summary is machine-generated.

Interscalene regional anesthesia is effective but risky due to nearby nerves and vessels. This article reviews seven cases of misplaced catheters and recommends internal guidelines to prevent serious complications.

Keywords:
AnesthesiaInterscalene blockPerioperative prevention and controlPostoperative complicationsRegional·analgesia

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Area of Science:

  • Anesthesiology
  • Neurosurgery
  • Regional Anesthesia

Background:

  • Interscalene regional anesthesia is a widely used and effective pain management technique.
  • However, its proximity to critical structures like the cervical spinal cord and major vessels poses significant risks.
  • Catheter placement, unlike single-shot injections, presents ongoing risks until removal.

Observation:

  • This article details seven cases of misplaced interscalene catheters.
  • It examines the causes and symptoms associated with these misplacements.
  • The focus is on the potential for severe complications arising from inadvertent catheter positioning.

Findings:

  • Misplaced catheters near the cervical spinal cord or in vessels are a latent danger.
  • Specific etiologies and clinical presentations of misplaced catheters are discussed.
  • The risk is amplified in catheter techniques compared to single-injection methods.

Implications:

  • Implementing internal practice guidelines is crucial for anesthesia departments.
  • These guidelines can enhance the safety and quality of interscalene regional anesthesia.
  • Preventing catastrophic complications requires adherence to standardized safety protocols.