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NEUROLOGY 1994;44:951
© 1994 American Academy of Neurology

Neurologic complications associated with internal jugular vein cannulation in critically ill patients

A prospective study

Edwin G. Garcia, MD, Eelco F.M. Wijdicks, MD and Brian R. Younge, MD

Section of Neuro-Ophthalmology, Department of Ophthalmology, Rochester, MN. (Drs. Garcia and Younge)
Department of Neurology, Neurology Critical Care Service, Mayo Clinic and Mayo Foundation, Rochester, MN. (Dr. Wijdicks)

Article abstract–To determine the frequency of neurologic complications after internal jugular cannulation, we performed a prospective study in 66 consecutive critically ill patients. Of these 66 patients, one had Horner's syndrome probably associated with a large carotid sheath hematoma (2%; 95% CI, 1 to 8%). No cerebrovascular complications occurred. The frequency of neurologic complications following internal jugular vein catheterization is low in critical illness.

Address correspondence and reprint requests to Dr. Eelco F.M. Wijdicks, W8A, Department of Neurology, Mayo Clinic, 200 F i r s t Street, Southwest, Rochester, MN 55905.

Received October 12, 1993. Accepted for publication in final form November 18,1993.




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