Key result
Positional change in a patient with a peripherally inserted central venous catheter under general anesthesia induced a temporary arrhythmia due to caudal movement of the catheter tip.
Why the study?
To highlight the risk of potentially lethal cardiac arrhythmias developing from caudal movement of a PICC tip during patient positional changes under general anesthesia.
Case Report (n=1)
Positional changes in patients with a PICC under general anesthesia can cause potentially lethal cardiac arrhythmias due to caudal movement of the catheter tip, highlighting the need for vigilant ECG monitoring.
Alerts anesthesiologists to arrhythmia risk from PICC migration with positioning under anesthesia; single case leaves open incidence and prevention strategies.
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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Utsumi et al. (2024) conducted a case report in Arrhythmia under general anesthesia (n=1). Positional change with peripherally inserted central venous catheter (PICC) was evaluated on Temporary arrhythmia. Positional change in a patient with a peripherally inserted central venous catheter under general anesthesia induced a temporary arrhythmia due to caudal movement of the catheter tip.
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