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Updated: May 7, 2025

Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures
Published on: April 21, 2013
Arrhythmia Induced by Positional Change Under General Anesthesia Related to Caudal Movement of the Peripherally
Isao Utsumi1, Tomasz Hascilowicz1, Yasushi Mio1
1Department of Anesthesiology, The Jikei University School of Medicine, Tokyo, Japan.
Abstract:
Background: The novel case report of a temporary arrhythmia that developed after a positional change in a patient under general anesthesia emphasizes the possibility of potentially lethal cardiac arrhythmias that may develop owing to caudal movement of the peripherally inserted central venous catheter ([CVC] PICC) tip when changing patient positions. Case Presentation: We present a case of temporary arrhythmia that developed after a positional change in a 44-year-old female patient scheduled for laparoscopic adrenalectomy under general anesthesia. She had undergone preoperative insertion of a PICC using an electrocardiogram (ECG)-guided tip confirmation system (TCS). Conclusion: The case report discusses the optimal TCS and emphasizes vigilant ECG monitoring, suggesting measures to prevent these arrhythmias under general anesthesia.
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