Open AccessUltrasound-guided posterior tibial artery cannulation as a rescue for intraoperative accidental arterial line displacement in the prone position: A case report
Author(s) -
M. Dinesh Kumar,
Madhumita Sinha
Publication year - 2022
Publication title -
indian journal of clinical anaesthesia
Language(s) - English
Resource type - Journals
eISSN - 2394-4781
pISSN - 2394-4994
DOI - 10.18231/j.ijca.2022.052
Subject(s) - medicine , prone position , cannula , posterior tibial artery , accidental , surgery , ultrasound , airway , rescue therapy , position (finance) , radiology , artery , physics , acoustics , finance , economics
Arterial cannulation for patients in prone position poses a great challenge for the anaesthesiologists because of restricted anatomical access and technical difficulty in needle advancement. In such a problematic scenario, ultrasound might be hugely helpful. We report a case of a 42-year-old male who underwent Atlanto-occipital fusion in prone position. Intraoperatively the left radial arterial cannula got dislodged accidentally. The right posterior tibial artery was cannulated under ultrasound guidance by long-axis in-plane approach as a rescue technique for continued management without disturbing the procedure and inconvenience to the team. The procedure was successful on the first attempt.