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"he 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" Utsumi et al (2025).
PICC associated arrhythmia induced by patient position change

Abstract:

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.

Reference:

Utsumi I, Hascilowicz T, Mio Y, Omi S. Arrhythmia Induced by Positional Change Under General Anesthesia Related to Caudal Movement of the Peripherally Inserted Central Venous Catheter: A Case Report. Case Rep Anesthesiol. 2024 Dec 27;2024:9185758. doi: 10.1155/cria/9185758. PMID: 39760114; PMCID: PMC11698605.

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