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Case Reports
Asymptomatic Penetration of the Median Nerve by a Peripherally Inserted Central Catheter: A Case Report.
- Masaru Kikuchi, Mana Sawada, Takeshi Nomura, Yusuke Mizuno, and Takahisa Goto.
- From the Department of Anesthesiology, Yokohama City University Hospital, Yokohama, Japan.
- A A Pract. 2022 Mar 23; 16 (3): e01577.
AbstractWe report a rare case in which a peripherally inserted central catheter (PICC) asymptomatically penetrated the median nerve. The patient was a 71-year-old man who displayed no neurological symptoms until 4 days after PICC placement. An ultrasound scan revealed that the PICC had penetrated the median nerve. He underwent surgery to remove the catheter and had no sequelae. When placing a PICC, selecting the brachial vein as a puncture site is associated with a high risk of nerve injury. Furthermore, circumspect observation is needed until withdrawal as neurological symptoms may be absent even when the catheter has punctured a nerve.Copyright © 2022 International Anesthesia Research Society.
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