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Published on: September 11, 2018
Radial nerve injury after routine peripheral vein cannulation
1Department of Anesthesiology, University of South Florida College of Medicine, Tampa 33612-4799, USA.
Intravenous (IV) catheter insertion near the radial nerve can cause injury, leading to painful neuromas. Early recognition and treatment of this complication are crucial for patient recovery.
Area of Science:
- Anesthesiology
- Neurosurgery
- Medical Education
Background:
- Dorso-radial wrist is a frequent site for intravenous (IV) cannulation before anesthesia.
- The superficial sensory branch of the radial nerve is vulnerable in this anatomical region.
Observation:
- A case of radial nerve laceration during routine IV catheter insertion is presented.
- This injury occurred during elective surgery and anesthesia.
Findings:
- The nerve injury resulted in the development of a painful neuroma.
- Neuroma formation is a potential complication of IV cannulation in this area.
Implications:
- Awareness of this complication can aid in its prompt diagnosis.
- Understanding this risk may improve surgical and anesthetic techniques to prevent nerve injury.
- This case highlights the importance of anatomical knowledge for safe IV access.
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