Key result
Caudal movement of a peripherally inserted central venous catheter during patient positional changes under general anesthesia can induce cardiac arrhythmias.
Positional changes in patients with PICC lines can cause caudal movement of the catheter, potentially leading to cardiac arrhythmias.
May prompt vigilance for position-related PICC migration arrhythmias under anesthesia; leaves open generalizability and need for prospective study.
We present a case of arrhythmia developed after positional change in a patient under general anesthesia, who had peripherally inserted central venous catheter (PICC) inserted by ECG-guided tip confirmation system. We stress the possibility of cardiac arrhythmias related to caudal movement of the PICC catheter upon changes in patient’s position.
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Utsumi et al. (2021) studied this question. Caudal movement of a peripherally inserted central venous catheter during patient positional changes under general anesthesia can induce cardiac arrhythmias.
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