Advertisement

Case 49: A Case of Anisocoria Following General Anesthesia

  • John G. Brock-Utne
Chapter

Abstract

A 12-year-old boy (American Society of Anesthesiologists physical status II [ASA 2]) (62 kg and 5′) is scheduled for a repair of a pectus excavatum (funnel chest). His preoperative laboratory values and chest X-ray are normal. After adequate sedation with oral midazolam (0.07 mg/kg), you take him to the operating room where an intravenous (IV) line is placed. Routine general anesthesia is induced using propofol, fentanyl, and vecuronium. The airway is secured and anesthesia maintenance is with N2O/O2 with sevoflurane. Another IV is placed together with a right radial arterial line. Attempts to cannulate the right internal jugular vein (IJV) prove difficult, as the ultrasound machine intermittently stops working. A new ultrasound machine is brought in and the IJV is successfully cannulated.

Keywords

Intensive Care Unit Operating Room Internal Jugular Vein Neurological Sign Pain Level 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Talks SJ, Shah P, Sinha PA. Horner’s syndrome following central line insertion. Anaesthesia. 1994;49:553.PubMedCrossRefGoogle Scholar
  2. 2.
    Ford S, Lauder G. Case report of Horner’s syndrome complicating internal jugular venous cannulation in a child. Paediatr Anaesth. 2007;17:396–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • John G. Brock-Utne
    • 1
  1. 1.Department of AnesthesiaStanford UniversityStanfordUSA

Personalised recommendations