Abstract
Two cases of air embolism associated with changing a right internal jugular introducer to a triple lumen catheter over a wire are presented. Both cases involved thin patients who were in the supine position for the procedure. The introducer catheter’s large diameter leaves a large opening in the skin upon its withdrawal. In a thin patient, there may not be enough tissue to collapse around the catheter to prevent air from entering the venous system. We recommend avoidance of guidewire changes with introducers in the neck veins unless the Trendelenberg is used.
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© 1992 Springer-Verlag New York Inc.
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Barnett, T., Reilly, J., Yum, K. (1992). Air Embolism Associated with Changing an Introducer over a Wire. In: Chang, J.B. (eds) Modern Vascular Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2946-9_33
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DOI: https://doi.org/10.1007/978-1-4612-2946-9_33
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7731-6
Online ISBN: 978-1-4612-2946-9
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