{"pk":1132,"title":"Hemiplegia Following Fluid Administration Through an Implanted Venous Access Device: A Case Report","subtitle":null,"abstract":"Introduction: \nMany patients seen in the emergency department (ED) have central venous access placed or previously established placement. Catheters inadvertently placed in the arterial circulation may lead to complications or adverse events.\nCase Report:\n We present a case of hemiplegia in a 63-year-old man following intravenous fluid administration through a malpositioned catheter that was initially unrecognized. The patient initially presented to the ED for stroke-like symptoms and was discharged following workup. On a subsequent visit for similar symptoms, intra-arterial placement of the catheter was diagnosed.\nConclusion:\n It is important for emergency physicians to be aware of this potential complication of central venous cannulation and that arterial malposition of a previously placed central line may go unrecognized with the potential to cause cerebral ischemia when cerebral blood flow is reduced by the infusion of intravenous fluids or medications.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"hemiplegia"},{"word":"central venous catheter malposition"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/05v2g1k6","frozenauthors":[{"first_name":"James","middle_name":"","last_name":"Waymack","name_suffix":"","institution":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"McDowell","name_suffix":"","institution":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois","department":"None"},{"first_name":"Nida","middle_name":"","last_name":"Feller","name_suffix":"","institution":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois","department":"None"},{"first_name":"Sharon","middle_name":"","last_name":"Kim","name_suffix":"","institution":"Southern Illinois University School of Medicine, Center for Clinical Research, Springfield, Illinois","department":"None"}],"date_submitted":"2022-01-29T05:52:07Z","date_accepted":"2022-01-29T05:52:07Z","date_published":"2022-01-29T05:53:07Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1132/galley/872/download/"}]}