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Emerg Med J. 2008 Dec;25(12):831. doi: 10.1136/emj.2008.060632.

Ipsilateral hemispheric ischaemic hypoxic changes during central line placement: a video-electroencephalogram correlate.

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  • 1Comprehensive Epilepsy Center, Department of Neurology, NYP-Weill Cornell Medical Center, 525 East 68 Street, York Avenue, New York, NY 10021, USA. sethinitinmd@hotmail.com


When venous access is needed for intravenous fluids or antibiotics and a peripheral site is unavailable or not suitable, a central line is placed either in the neck or the groin. Complications have been reported during central line placement including (but not limited to) pneumothorax, haemothorax, arrhythmias, air embolism and introduction of infection. The case history is reported of a patient who developed ipsilateral hemispheric ischaemic hypoxic changes during central line placement. This was represented on the surface electroencephalogram by ipsilateral hemispheric voltage attenuation.

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